论文部分内容阅读
目的探讨结核性渗出性胸膜炎快速、有效及防止早期包裹粘连。方法对129例中等量以上结核性渗出性胸膜炎患者,按不同的胸腔穿刺抽液术分成治疗组(采用中心静脉导管胸腔置入引流胸水)、对照组(常规方法抽液)2组,比较不同组别的退热时间、胸腔积液消失时间及并发症发生率。结果治疗组退热时间平均(4.85±2.1)d,胸腔积液消失时间平均(8.62±2.27)d;发生胸膜肥厚3例;对照组退热时间平均(8.74±1.97)d,胸腔积液消失时间平均(13.57±3.1)d,发生胸膜肥厚15例(29.4%)。治疗组退热、胸腔积液消失平均时间明显少于对照组(P<0.01)。结论采用中心静脉导管胸腔置入引流胸水治疗结核性渗出性胸膜炎与常规抽液法相比,能使退热、胸腔积液消失时间明显缩短;并发症发生率明显减少,值得临床推广使用。
Objective To investigate the rapid and effective treatment of tuberculous exudative pleurisy and prevent early parcel adhesions. Methods A total of 129 patients with tuberculous exudative pleurisy were divided into two groups according to different thoracentesis. The patients in the control group (conventional method) were divided into treatment group (treated with central venous catheter pleural drainage) Different groups of antipyretic time, hydronephrosis disappear time and the incidence of complications. Results The average time of antipyretic in treatment group was (4.85 ± 2.1) d, and the disappearance time of pleural effusion was (8.62 ± 2.27) d. Pleural thickening occurred in 3 cases. The control group had an average of (8.74 ± 1.97) Time average (13.57 ± 3.1) d, pleural thickening occurred in 15 cases (29.4%). Treatment group fever, pleural effusion disappeared average time was significantly less than the control group (P <0.01). Conclusion The treatment of tuberculous exudative pleurisy with drainage of central venous catheter into pleural effusion can significantly reduce the time of fever and pleural effusion disappearing compared with that of conventional fluid extraction. The incidence of complications is significantly reduced, which is worthy of clinical application.