胸腔置管持续引流治疗结核性胸膜炎206例临床分析

The clinical analysis of persistently pleural drainage with central venous catheterization to treat tuberculous pleuritis

目的:探讨胸腔置入中心静脉导管持续引流治疗结核性胸膜炎的临床疗效。方法:将392例结核性胸膜炎患者分为2组:治疗组206例,采用中心静脉导管置入胸腔持续引流胸水;对照组186例,采用常规胸腔穿刺抽胸水。比较2组患者治疗后胸水消失时间及3、7、14 d后胸水吸收率。结果:治疗组胸水消失时间(7±5)d,对照组(17±9)d,有明显差异;治疗组3、7、14 d胸水吸收率均显著高于对照组,差异有统计学意义(P<0.05)。结论:胸腔置管持续引流治疗结核性胸膜炎疗效确切,操作简便,值得推广。

Objective： To study the clinical effect of central venous catheterization indwelling persistent thoracic drainage to treat tuberculous pleuritis. Methods： Three hundred and ninety-two cases of tuberculous pleurisy were divided randomly into two groups. In 206 cases of the remedy group, adapted of indwelling central venous catheterization was put into thoracic cavity to extract out the pleural effusion. In 186 cases of control group, routine thoracic puncture and drainage. Then compared the time of hydrothorax disappearing and the hydrothoraxabsorption rate after remedy in 3, 7, 14 d. Results： In group of remedy, the time of hydrothorax disappearing was（7±5）d, but in control group, it was（17±9） d, there was significant difference; the hydrothorax absorption rate after treatment in 3, 7, 14 d was also higher evidently than control, the differences had significances. Conclusion： The treat method of central venous catheteriza- tion indwelling thoracic to treat tuberculous pleuritis is not only with significant clinical effect, but also simply in performing, so it is worthy to be popularized.