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目的 观察比较中心静脉导管胸腔闭式引流术与常规胸腔引流术治疗结核性胸膜炎的疗效。方法选择结核性胸膜炎120例患者,随机分为治疗组(60例)和对照组(60例),比较两组患者的抽液总量、平均吸收时间、平均住院天数、平均退热时间及并发症。结果治疗组抽液总量、平均吸收时间、平均住院天数、平均退热时间均优于对照组,有显著性差异,且并发症少。结论中心静脉导管胸腔闭式引流术治疗结核性胸膜炎的疗效比常规胸穿抽液术好,操作易行简单,副作用少、痛苦小,经济负担低,临床有推广价值。
Objective To compare the curative effect of thoracic closed drainage of central venous catheter and conventional chest drainage in the treatment of tuberculous pleurisy. Methods A total of 120 patients with tuberculous pleurisy were randomly divided into treatment group (60 cases) and control group (60 cases). Total pumping time, average absorption time, average hospitalization days, disease. Results The total amount of fluid extraction, average absorption time, average days of hospitalization, and average antipyretic time in the treatment group were all better than those in the control group, with significant differences and fewer complications. Conclusions The treatment of tuberculous pleurisy with central venous catheter thoracic drainage is better than conventional chest draining. The operation is simple and easy with few side effects, little pain, low economic burden and clinical value.