中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
22期
39-40
,共2页
结核性渗出性胸膜炎%微创中心静脉导管%效果
結覈性滲齣性胸膜炎%微創中心靜脈導管%效果
결핵성삼출성흉막염%미창중심정맥도관%효과
Tuberculous exudative pleurisy%Minimally invasive central venous catheter%Effect
目的：探讨不同方法抽取胸腔积液治疗结核性渗出性胸膜炎的效果比较。方法：2009年1月-2013年12月收治结核性渗出性胸膜炎患者140例，将其分为观察组和对照组。对照组采用抗结核药物进行治疗，并分多次抽出胸腔积液；观察组在采用抗结核药的基础上一次性进行胸腔积液微创中心静脉导管引流，记录两组治疗情况作对比。结果：两组经过治疗，对照组的退热时间(8.22±1.96)天，观察组的退热时间(4.76±1.81)天；对照组的积液消失时间(13.44±2.96)天，观察组的积液消失时间(8.86±2.18)天，观察组的治疗效果明显优于对照组(P＜0.05)。结论：在治疗结核性渗出性胸膜炎时尽可能一次性使用微创中心静脉导管引流胸腔积液具有更好的治疗效果，在临床上值得推广应用。
目的：探討不同方法抽取胸腔積液治療結覈性滲齣性胸膜炎的效果比較。方法：2009年1月-2013年12月收治結覈性滲齣性胸膜炎患者140例，將其分為觀察組和對照組。對照組採用抗結覈藥物進行治療，併分多次抽齣胸腔積液；觀察組在採用抗結覈藥的基礎上一次性進行胸腔積液微創中心靜脈導管引流，記錄兩組治療情況作對比。結果：兩組經過治療，對照組的退熱時間(8.22±1.96)天，觀察組的退熱時間(4.76±1.81)天；對照組的積液消失時間(13.44±2.96)天，觀察組的積液消失時間(8.86±2.18)天，觀察組的治療效果明顯優于對照組(P＜0.05)。結論：在治療結覈性滲齣性胸膜炎時儘可能一次性使用微創中心靜脈導管引流胸腔積液具有更好的治療效果，在臨床上值得推廣應用。
목적：탐토불동방법추취흉강적액치료결핵성삼출성흉막염적효과비교。방법：2009년1월-2013년12월수치결핵성삼출성흉막염환자140례，장기분위관찰조화대조조。대조조채용항결핵약물진행치료，병분다차추출흉강적액；관찰조재채용항결핵약적기출상일차성진행흉강적액미창중심정맥도관인류，기록량조치료정황작대비。결과：량조경과치료，대조조적퇴열시간(8.22±1.96)천，관찰조적퇴열시간(4.76±1.81)천；대조조적적액소실시간(13.44±2.96)천，관찰조적적액소실시간(8.86±2.18)천，관찰조적치료효과명현우우대조조(P＜0.05)。결론：재치료결핵성삼출성흉막염시진가능일차성사용미창중심정맥도관인류흉강적액구유경호적치료효과，재림상상치득추엄응용。
Objective:To explore the effect comparison of different methods of extracting pleural effusion in the treatment of tuberculous exudative pleurisy.Methods:140 cases with tuberculous exudative pleurisy were selected from January 2009 to December 2013.They were divided into the observation group and the control group.The control group were treated with anti tuberculosis drugs,and repeatedly extracting pleural effusion.On the basis of anti tuberculosis drugs,the observed group were treated with minimally invasive central venous catheter for disposable drainage of pleural effusion.The treatment conditions of patients in two groups were recorded and compared.Results:After the treatment in two groups,the antifebrile time of the control group was (8.22±1.96) days.The antifebrile time of the observation group was (4.76±1.81) days.The effusion disappear time of the control group was (13.44 ± 2.96) days,The effusion disappear time of the observation group was (8.86 ± 2.18) days.The treatment effect of the observation group was better than that of the control group(P<0.05).Conclusion:In the treatment of tuberculous exudative pleurisy,it is as far as possible to use minimally invasive central venous catheter for disposable drainage of pleural effusion.It can have better treatment effect.It is worthy of popularization and application in clinical.
