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目的探讨中心静脉导管胸腔闭式引流术在结核性胸腔积液中的应用效果。方法 50例结核性胸腔积液患者,按随机数字表法将其分成实验组和对照组,各25例,实验组患者应用中心静脉导管胸腔闭式引流术治疗,对照组患者应用传统胸腔穿刺抽液法治疗,比较两组治疗效果。结果实验组积液吸收时间为(6.52±2.63)d,胸膜增厚度为(5.41±3.01)mm,气促缓解时间为(3.65±1.52)d,住院时间为(10.31±2.63)d,结核性胸腔积液治疗总有效率为96.0%,并发症发生率为4.0%,与对照组相比,差异均具有统计学意义(P<0.05)。结论中心静脉导管胸腔闭式引流术在结核性胸腔积液患者中具有较高的应用价值,值得临床进一步应用推广。
Objective To investigate the effect of central venous catheter thoracic drainage in tuberculous pleural effusion. Methods Fifty patients with tuberculous pleural effusion were randomly divided into experimental group and control group according to random number table method, 25 cases in each group. The patients in experimental group were treated by thoracic closed drainage of central venous catheter, while those in control group were treated by conventional thoracentesis Liquid treatment, the treatment effect of two groups were compared. Results The time of effusion of the experimental group was (6.52 ± 2.63) d, the pleural thickening was (5.41 ± 3.01) mm, the duration of shortening was (3.65 ± 1.52) d, the length of hospital stay was (10.31 ± 2.63) The total effective rate of pleural effusion was 96.0% and the complication rate was 4.0%. The difference was statistically significant (P <0.05) compared with the control group. Conclusion Central venous catheter thoracic closure drainage in patients with tuberculous pleural effusion has a high value, it is worth further clinical application.