CAJ | 학술논문

　　目的：探讨用中心静脉导管内置术治疗胸腔积液在基层医院的实用性、有效性、安全性。方法：回顾性分析2004年1月至2012年1月收治的100例经 B 超及 X 线确诊的中等量以上及包裹性胸腔积液患者的临床资料。结果：100例胸腔积液患者均1次置管成功，并彻底引流，其中7例因官腔堵塞或包裹重新置管，1例发生轻微气胸，5例有轻微胸膜反应，经吸氧、镇静和休息缓解。结论：中心静脉导管内置术治疗胸腔积液安全性高、损伤小，操作简单。
　　목적：탐토용중심정맥도관내치술치료흉강적액재기층의원적실용성、유효성、안전성。방법：회고성분석2004년1월지2012년1월수치적100례경 B 초급 X 선학진적중등량이상급포과성흉강적액환자적림상자료。결과：100례흉강적액환자균1차치관성공，병철저인류，기중7례인관강도새혹포과중신치관，1례발생경미기흉，5례유경미흉막반응，경흡양、진정화휴식완해。결론：중심정맥도관내치술치료흉강적액안전성고、손상소，조작간단。
Objective: To investigate the practicability, efficacy and security of central venous catheter inlay in treating patients with pleural effusion in primary hospital. Methods: The clinical data of 100 patients suffered from moderate or above pleural effusion and encapsulated pleural effusion confirmed by B ultrasound and chest X-ray from Jan 2004 to Jan 2012 were retrospectively analyzed.Results:100 patients with pleural effusion were successful at catheter insertion and completely drainage, 7 cases needed to re-catheterize due to catheter blockage or effusion package, 1 case had mild pneumothorax, 5 cases had slight pleural reaction but remission after oxygen inhalation, sedation and relaxation. Conclusion: It is a high security,less damage and easy operative method of treating pleural effusion by central venous catheters inlay.