中心静脉导管留置在结核性胸膜炎中的应用评价

Clinical evaluation of detained central venous catheter in the treatment of tuberculosis pleurisy

目的探讨中心静脉导管留置引流在治疗结核性胸膜炎的应用价值。方法将72例结核性胸膜炎患者随机分为A组和B组,均予以全身规则抗结核治疗。A组留置中心静脉导管引流,B组常规胸腔穿刺抽液。结果两组间在抽放胸液量、胸液消失时间等方面有显著差异性(P<0.01)。结论胸腔穿刺留置导管引流胸腔积液安全可行,操作简便,降低胸膜肥厚的发生。

Objective To study the clinical value of detained central venous catheter in the treatment of tuberculosis pleurisy. Methods Seventy-two initially treated patients with tuberculosis pleurisy were randomly divided into A and B groups,and both group were given regular anti-tuberculosis therapy. Group A received the treatment of depositing a central venous catheter in pleural cavity. Group B received the treatment of removing fluids from the cavity with pleural centesis intermittently. Results There were significant differences in the time of pleural disappearing and the number of pleural effusion. Conclusion It may be feasible and safe to drain a lot of pleural effusion by using central venous catheter. The catheter drainage may reduce the probability of pleura incrassation incidence.