论文部分内容阅读
目的应用中心静脉导管置管配合尿激酶灌注治疗结核性浆膜腔积液疗效。方法选择2011年5月~2014年2月在我科住院的结核性浆膜腔积液患者80例,随机分成治疗组和对照组,各40例。两组患者均给予联合抗结核化疗,两组抽液后均给予异烟肼0.3,地塞米松10 mg浆膜腔注射。其中治疗组患者通过中心静脉导管置于浆膜腔每次抽液后注入尿激素,而对照组采用穿刺针穿刺进胸膜腔抽取积液。结果治疗组在显效、总有效率、无效率方面与对照组比较,差异有统计学意义(<0.05)。结论应用中心静脉导管置管配合尿激酶灌注治疗结核性浆膜腔积液疗效确切,对结核性浆膜腔积液治疗更彻底,并发症发生率更低。“,”Objective Application of central venous catheters with urokinase infusion treatment of tuberculous ef usion serous cavities.Methods May 2011~2014 in February in patients with tuberculous serous ef usions our hospital,80 patients were randomly divided into treatment group and control group,40 cases.Two groups of patients were treated with combined anti-TB chemotherapy, two groups were given isoniazid 0.3 pumping fluid,dexamethasone 10mg serous cavity injection.Among patients treated with serous cavities placed through a central venous catheter after each pumping fluid injected hormones in urine,while the control group received a puncture needle into the pleural fluid extraction.Results Markedly in the treatment group,the total ef iciency,no ef iciency compared with control group,the dif erence was statistical y significant ( <0.05).Conclusion Central venous catheters with urokinase infusion treatment of tuberculous ef usion serous cavities definite tuberculous ef usion more thorough treatment,lower complication rates.