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目的:观察母牛分枝杆菌菌苗(微卡)在结核性胸膜炎中的疗效。方法:对我院2004年2月—2007年2月3年期间明确诊断为结核性胸膜炎患者100例随机分为观察组和对照组,对照组50例常规化疗和胸腔内注入异烟肼、地塞米松、尿激酶,观察组在上述常规治疗基础上胸腔内注入微卡。结果:观察组完全好转38例(76%),对照组完全好转26例(52%),两组对比有显著差异(P<0.05)。结论:通过胸腔闭式引流并注药效果明显,早期引流并注入微卡有利于胸腔积液的吸收并防止进一步粘连、肥厚。
Objective: To observe the efficacy of Mycobacterium vaccae vaccine (Mika) in tuberculous pleurisy. Methods: A total of 100 patients with tuberculous pleurisy diagnosed in our hospital from February 2004 to February 2007 were randomly divided into observation group and control group. The control group received conventional chemotherapy and intrapleural injection of isoniazid Dexamethasone, urokinase, the observation group on the basis of the above conventional treatment of intracardiac injection of micro-card. Results: The observation group was completely improved in 38 cases (76%), while the control group was completely improved in 26 cases (52%). There was significant difference between the two groups (P <0.05). Conclusion: Through the thoracic closed drainage and injection of drug obvious effect, early drainage and injection of micro-card is conducive to the absorption of pleural effusion and prevent further adhesion, hypertrophy.