微创置管引流治疗胸腔积液疗效观察

Observation on the effects of micro-invasive drainage with central venous catheter in the treatment of pleural effussion

目的观察中心静脉导管胸腔内置管引流治疗胸腔积液疗效。方法中到大量胸腔积液患者76例,随机分为观察组与对照组。观察组予中心静脉导管行胸腔内置管引流治疗。对照组予以分次穿刺抽液治疗。两组患者进行穿刺次数、B超定位次数、胸水消失时间、疼痛程度、气胸发生率等对比评定。结果两组在穿刺次数、B超定位次数、胸水消失时间、疼痛程度等对比差异有统计学意义(P<0.001)。结论中心静脉导管胸腔内置管引流治疗中到大量胸腔积液,其方法简单易行,并发症少,疗效显著,值得临床应用。

Obejctive To observe the therapeutic effect of closed drainage of thoracic cavity with central venous catheter in the treatment of pleural effusion. Methods 76 patients with pleural effusion were randomly divided into experiment group and control group. The patients in the experiment group were treated with closed drainage of thoracic cavity with central venous catheter, and the patients in the control group were accepted fractionation pricking. The frequency of pricking, the frequency of location guided by B-mode ultrasonography, the extinction time of pleural fluid, the extent of pain and the incidence rate of pneumatnthorax in the two groups were evaluated and compared. Results There were significant difference in the frequency of pricking, the frequency of location guided by B-mode uhrasonography ,the extinction time of pleural fluid and the extent of pain of the two groups. （ P〈0. 001 ）. Conclusion The closed drainage of thoracic cavity with central venous catheter in the treatment of pleural effusion was simpler, more feasible, less complication and more effective. It was worth to clinical application.