实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2014年
7期
25-26,27
,共3页
胸腔积液%尿纤溶酶原激活物%胸腔闭式引流
胸腔積液%尿纖溶酶原激活物%胸腔閉式引流
흉강적액%뇨섬용매원격활물%흉강폐식인류
Pleural effusion%Urinary plasminogen activator%Closed thoracic drainage
目的：探讨胸腔闭式引流联合尿激酶治疗结核性包裹性胸腔积液的临床疗效。方法选择2008年2月-2013年10月我院收治的结核性包裹性胸腔积液患者82例，将其随机分为治疗组和对照组，各41例。两组均予以抗结核、对症支持等综合治疗，对照组患者采用胸腔闭式引流治疗，治疗组采用胸腔闭式引流联合尿激酶治疗，比较两组患者治疗效果。结果治疗组总有效率为90.2%（37/41），高于对照组的65.8%（27/41）（P <0.05）。治疗前两组患者胸腔积液中蛋白质及白细胞计数比较，差异均无统计学意义（P >0.05）；治疗后治疗组胸腔积液中蛋白质及白细胞计数均低于对照组（P <0.05）。治疗组患者胸腔积液消失时间及住院天数短于对照组，3个月后胸膜厚度小于对照组（P <0.05）。结论胸腔闭式引流联合尿激酶治疗结核性包裹性胸腔积液安全有效，值得临床应用。
目的：探討胸腔閉式引流聯閤尿激酶治療結覈性包裹性胸腔積液的臨床療效。方法選擇2008年2月-2013年10月我院收治的結覈性包裹性胸腔積液患者82例，將其隨機分為治療組和對照組，各41例。兩組均予以抗結覈、對癥支持等綜閤治療，對照組患者採用胸腔閉式引流治療，治療組採用胸腔閉式引流聯閤尿激酶治療，比較兩組患者治療效果。結果治療組總有效率為90.2%（37/41），高于對照組的65.8%（27/41）（P <0.05）。治療前兩組患者胸腔積液中蛋白質及白細胞計數比較，差異均無統計學意義（P >0.05）；治療後治療組胸腔積液中蛋白質及白細胞計數均低于對照組（P <0.05）。治療組患者胸腔積液消失時間及住院天數短于對照組，3箇月後胸膜厚度小于對照組（P <0.05）。結論胸腔閉式引流聯閤尿激酶治療結覈性包裹性胸腔積液安全有效，值得臨床應用。
목적：탐토흉강폐식인류연합뇨격매치료결핵성포과성흉강적액적림상료효。방법선택2008년2월-2013년10월아원수치적결핵성포과성흉강적액환자82례，장기수궤분위치료조화대조조，각41례。량조균여이항결핵、대증지지등종합치료，대조조환자채용흉강폐식인류치료，치료조채용흉강폐식인류연합뇨격매치료，비교량조환자치료효과。결과치료조총유효솔위90.2%（37/41），고우대조조적65.8%（27/41）（P <0.05）。치료전량조환자흉강적액중단백질급백세포계수비교，차이균무통계학의의（P >0.05）；치료후치료조흉강적액중단백질급백세포계수균저우대조조（P <0.05）。치료조환자흉강적액소실시간급주원천수단우대조조，3개월후흉막후도소우대조조（P <0.05）。결론흉강폐식인류연합뇨격매치료결핵성포과성흉강적액안전유효，치득림상응용。
Objective To investigate the clinical effect of closed thoracic drainage combined with urokinase on encap-sulated tuberculous pleural effusion. Methods 82 encapsulated tuberculous pleural effusion patients were chosen in our hospital from February 2008 to October 2013,and they were randomly divided into groups treatment and control,each of 41 cases. All patients were treated by the conventional anti - tuberculosis,symptomatic and supportive treatment. The control group was given closed thoracic drainage,while the treatment group was given closed thoracic drainage combined with urokinase,the curative effects were compared. Results The total effective rate of treatment group was 90. 2% (37 / 41),was higher than that of con-trol group of 65. 8% (27 / 41)(P < 0. 05). There was no significant difference in protein and white blood cell count in pleural effusion between the two groups before treatment(P > 0. 05),but the protein and white blood cell count in pleural effusion of treatment group were lower than those of control group after treatment(P < 0. 05). The time of pleural effusion disappearance and time of hospital stay of treatment group were shorter than those of control group,pleural thickness after 3 months less than that of control group(P < 0. 05). Conclusion Closed thoracic drainage combined with urokinase is safe and effective on encapsula-ted tuberculous pleural effusion,which is worthy of clinical application.
