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目的探讨肝性胸水患者用中心静脉导管放胸水后行胸膜粘连的疗效。方法对本院2007年1月至2009年11月收治的肝性胸水病例92例,随机分成2组(治疗组50例及对照组42例),治疗组采用一次性中心静脉导管置入胸腔持续引流胸水,注入卡介菌多糖核酸(斯奇康)。对照组采用常规胸腔穿剌抽胸水。两种方法均给予护肝、输白蛋白等支持治疗,观察其胸水消退时间和并发症的发生。结果治疗组疗效明显优于对照组,治疗组胸水消退时间短,并发症少。结论中心静脉导管用于肝性胸水行胸膜膜粘连治疗疗效确切,操作简便,值得推广。
Objective To investigate the curative effect of pleural adhesion after pleural effusion with central venous catheter in patients with hepatic pleural effusion. Methods 92 cases of hepatic pleural effusion admitted to our hospital from January 2007 to November 2009 were randomly divided into 2 groups (50 cases in the treatment group and 42 cases in the control group). The patients in the treatment group were treated with disposable central venous catheters Drainage of pleural effusion, injection of BCG polysaccharide nucleic acid (Si Ke Kang). Control group using conventional chest puncture pleural effusion. Both methods were given liver support, albumin and other supportive treatment, observe the pleural effusion time and complications. Results The treatment group was significantly better than the control group, the treatment group pleural effusion short time, fewer complications. Conclusion Central venous catheters for the treatment of pleural adhesion of hepatic pleural effusion curative effect is exact, easy to operate, it is worth promoting.