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目的:对比评价胸腔细管引流与传统胸穿抽液治疗结核性胸膜炎的疗效。方法:选择2006年7月至2008年10月在本科住院治疗的结核性胸膜炎患者共220名,随机分为治疗组和对照组。在常规抗结核及激素治疗的基础上,治疗组用中央静脉导管行胸腔细管引流胸液,对照组行传统的胸穿抽液治疗,对比2组病例的疗效。结果:治疗组的胸穿次数、胸腔B超次数、胸水吸收天数、胸膜粘连情况,及在胸穿过程中发生气胸及胸膜反应的例数与对照组有显著性差异。结论:采用中央静脉导管行胸腔细管引流治疗结核性胸膜炎的疗效明显优于传统的胸穿抽液方式,并发症少,是值得推广的治疗方法。
OBJECTIVE: To compare and evaluate the curative effect of thoracic thin tube drainage and traditional pleural fluid drainage in the treatment of tuberculous pleurisy. Methods: A total of 220 tuberculous pleurisy patients admitted to our hospital from July 2006 to October 2008 were randomly divided into treatment group and control group. On the basis of routine anti-tuberculosis and hormone therapy, the treatment group was treated with thoracic drainage of the pleural fluid through the central venous catheter, and the control group received conventional chest-fluid drainage, comparing the curative effect of the two groups. Results: There were significant differences between the treatment group in the number of chest wear, the number of pleural B-wave, the days of pleural fluid absorption, the pleural adhesions, and the number of pneumothorax and pleural reaction during thoracentesis. Conclusion: The curative effect of central venous catheter in the treatment of tuberculous pleurisy with thoracic duct drainage is obviously better than the traditional method of chest fluid pumping, with less complications, which is worthy of promotion.