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目的探讨中心静脉导管置管引流治疗危重患者胸腔积液的临床疗效及安全性。方法将本院70例需要实施胸腔闭式引流患者划分为两组,观察组采取中心静脉导管置管引流,对照组采取普通硅胶管穿刺。比较两组患者接受治疗的总疗效。结果观察组比对照组患者的血流动力学更平稳,观察组引流管脱出、出血损伤和疼痛反应比对照组要低,两组差异有统计学意义(P<0.05)。结论中心静脉导管比普通硅胶管对患者的胸腔积液引流临床效果更优,能够稳定患者的血流动力学,减少患者的出血损伤和疼痛反应,可被医学临床推广和普及。
Objective To investigate the clinical efficacy and safety of catheterization and drainage of central venous catheter in the treatment of pleural effusion in critically ill patients. Methods Seventy patients undergoing closed thoracic drainage in our hospital were divided into two groups. The observation group was catheterized by central venous catheter, and the control group was treated by ordinary silicone tube. The total effect of treatment was compared between the two groups. Results The hemodynamics of the observation group was more stable than that of the control group. The bleeding of the drainage tube and the bleeding injury and pain response in the observation group were lower than those in the control group. There was significant difference between the two groups (P <0.05). Conclusion The central venous catheter is superior to ordinary silicone tube in the treatment of pleural effusion and drainage in patients. It can stabilize the hemodynamics of the patients and reduce the bleeding injury and pain response, which can be popularized and popularized by the medical clinic.