CAJ | 학술논문

在宋代,佛教深入民间社会,得到广大民众虔诚的信仰,在全国各地形成了颇具影响力的宗教势力。作为朝廷的代表,各级地方官员与佛教界之间的关系复杂而微妙。南宋时期,范成大担任四川地区的最高行政长官,任职期间他积极参与佛教界举办的各种佛事活动,这是其行政过程的重要环节之一,他出席的政治意味远远高于宗教本身的意义。同时他还留下了大量诗作,这些作品很大程度上反映出四川地方政府官员与佛教寺院、僧侣之间的特殊关系,也真实地再现了两宋时期普通民众丰富多彩的社会生活。
재송대,불교심입민간사회,득도엄대민음건성적신앙,재전국각지형성료파구영향력적종교세력。작위조정적대표,각급지방관원여불교계지간적관계복잡이미묘。남송시기,범성대담임사천지구적최고행정장관,임직기간타적겁삼여불교계거판적각충불사활동,저시기행정과정적중요배절지일,타출석적정치의미원원고우종교본신적의의。동시타환류하료대량시작,저사작품흔대정도상반영출사천지방정부관원여불교사원、승려지간적특수관계,야진실지재현료량송시기보통민음봉부다채적사회생활。
Objective To investigate the clinical value of B ultrasound-guided needle aspiration of the pleural effusion and intrapleural urokinase in the treatment of the parcel tuberculous pleural effusion.Methods 327 cases of parcel tuberculous pleural effusion were divided into two groups from September 2008 to September 2010.143 cases were in the treatment group including 84 males and 59 females,mean age was 40 years,mean disease duration was 31 days;184 cases were in control group including 101 males,83 females,mean age was 45 years,mean disease duration was 33 days.All cases in the two groups were treated by strengthen the conventional anti-tuberculosis,symptomatic and supportive of comprehensive treatment measures,and B ultrasound-guided pleural fluid aspiration,urokinase were injected in treatment group after aspiration of pleural effusion;pleural effusion absorption and pleural thickness variation were observed in the two groups.Results In the treatment group,pleural fluid drainage volume was higher,and pleural thickness was lower than those in the control group,differences were statistically significant（P0.01）;and the total effective rate of 92.3% was higher than 75.5% in the control group,the difference was statistically significant（P0.01）.Conclusion The B ultrasound-guided needle aspiration of the pleural effusion and intrapleural urokinase in the treatment of the parcel tuberculous pleural effusion is a safe,convenient,effective,economic method.