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目的探讨胸腔闭式引流联合尿激酶注入治疗胸腔积液的临床疗效。方法选取我院2009年1月至2010年1月住院治疗的胸腔积液患者94例,将患者随机平均分为两组,观察组进行胸腔闭式引流结合尿激酶注入治疗,对照组患者行胸腔闭式引流治疗。结果观察组患者显效41例(87.23%)、有效4例(8.51%)、无效2例(4.26%)、总有效率为95.74%,与对照组相比显效率和总有效率显著提高,差异有统计学意义(P<0.01)。结论合并尿激酶注入治疗相比单纯胸腔闭式引流具有更好的临床效果,不仅提高了有效率还增加了显效的比例,具有良好的临床价值。
Objective To investigate the clinical effect of closed thoracic drainage combined with urokinase in the treatment of pleural effusion. Methods Ninety-four patients with pleural effusion admitted to our hospital from January 2009 to January 2010 were randomly divided into two groups. The patients in the observation group received closed thoracic drainage combined with urokinase infusion. Patients in the control group underwent thoracocentesis Closed drainage treatment. Results In the observation group, the effective rate was 41 cases (87.23%), 4 cases (8.51%) were effective, 2 cases (4.26%) were ineffective and the total effective rate was 95.74%. Compared with the control group, the markedly effective rate and total effective rate There was statistical significance (P <0.01). Conclusions The combined therapy with urokinase has better clinical efficacy than simple closed thoracic drainage, which not only improves the effective rate but also increases the effective proportion, which has good clinical value.