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目的探讨中心静脉导管引流在胸腔积液治疗中的作用及疗效。方法选取2009年1月至2010年12月间来我院治疗的胸腔积液患者86例作为研究对象,随机分为观察组及对照组,观察组给予中心静脉导管引流术治疗,对照组采用传统胸腔穿刺抽液术,观察记录各患者胸水消退时间、胸水刺激并发症状的缓解时间及住院天数。结果观察组的胸水消退时间、胸水刺激相关性症状缓解时间及住院天数显著短于对照组的差异有统计学意义。就并发症而言,观察组无出现胸膜反应,与对照组相比差异有统计学意义。结论中心静脉导管引流法与胸腔穿刺抽液术相比,在治疗胸腔积液中起到了较好的疗效,且并无严重并发症发生。
Objective To investigate the role of central venous catheter drainage in the treatment of pleural effusion and its therapeutic effect. Methods 86 cases of pleural effusion treated in our hospital from January 2009 to December 2010 were randomly divided into observation group and control group. The observation group was given central venous catheter drainage. The control group was treated with traditional Thoracentesis and draining technique was used to observe and record pleural effusion subsidence time, pleural effusion relief complications and hospitalization days. Results The observation group’s pleural effusion, hydrothorax stimulation-related symptoms and hospitalization days were significantly shorter than the control group, the difference was statistically significant. In terms of complications, the observation group showed no pleural reaction, compared with the control group, the difference was statistically significant. Conclusions Central venous catheter drainage has a better curative effect in the treatment of pleural effusion than thoracentesis and drainage, and no serious complications occur.