超量排放胸腔积液的临床风险探讨

Evaluation on the Risk of Letting out Pleural Effusion Largely

目的观察超量排放胸水的治疗效果及临床风险。方法选取住院患者共计38例,在综合治疗基础上以B超定位后进行胸水排放,在病情允许的情况下缓慢的、超常规剂量排放胸水。结果38例患者共计胸水排放82例次,最少排放胸水1400ml,最多每次排放4000ml,平均排放量为2447ml。16例次患者出现可耐受的不适症状,不良反应发生率为19.51%。结论每次超量、缓慢排放胸水是安全的。一次性充分的排尽胸腔内大量积液能减少各种并发症的发生,同时也减轻了患者的痛苦和心理负担。

Objective To evaluate the therapeutic effectiveness and the clinical risk of excessive drainage by thoracentesis. Methods 38 patients in hospital were selected in this study. In addition to basic medical treatment, thoracentesis was performed with the guidance of ultrasonic diagnosis. Compared with conventional conception, the drainage volume of pleural effusion is much larger. The operation was conducted slowly and the response of patients was recorded with great care. Results For 38 patients, 82 times for pleural effusion drainage were conducted. The volume of pleural effusion varied from 1 400 to 4 000 ml. The average volume is 2 447 ml. Sixteen cases had endurable symptoms during the operation. The incidence rate was 19.51%. Conclusion We conclude that it is safe to drain pleural effusion in large volume slowly by thoracentesis. Many complications could be avoided. In addition, patient＇ s pain and their mental burden could also be alleviated.