留置静脉导管治疗结核性胸腔积液36例分析

The 36 Cases analysis about indwelling central venous catheter in the chest to cure the tuberculouse thoracic cavity hydrops

目的:探讨胸腔内留置中心静脉导管引流结核性胸膜炎大量胸水的疗效和优点。方法:对36例结核性渗出性胸膜炎中等量以上胸水的患者进行胸腔内置中心静脉导管引流术引流胸水,引流结束时经静脉导管注入灭活的草分支杆菌。结果:36例患者中14例治愈,16例显效,6例好转,总有效率100%。结论:胸腔内留置中心静脉导管并发症少、胸穿次数少、包裹性积液、胸膜肥厚粘连的发生率低,并明显缩短胸水消失时间及平均住院天数,留置中心静脉导管是治疗结核性胸腔积液的经济、创伤小、患者耐受性好的有效方法值得临床推广应用。

Objective：to evaluate the efficacy and advantages by indwelling central venous catheter in the chest treatment to cure the tuberculouse thoracic cavity hydrops.Methods： 36 cases were branched,a total of tu-berculous exudative pleurisy releases above in patients with thoracic water chest built-in central venous catheter drainage of drainage hydrothorax,drainage by venous catheter end into the grass mycobacteria inactivated.Re-sults： in 36 patients,14 of cases were cured,16 cases were markedly effective,and 6 cases improved,the total effi-ciency is 100%.conclusion： Indwelling central venous catheter in the chest has fewer complications,fewer wear chest,lower occurrence rates of pleural thickning,pleural adhesion and pleural effusion in treatment,and shorter time of disappearance of pleural effusion.Therefore,Indwelling central venous catheter is an effective treatment method for tuberculous pleural effusion,which is economic,with little trauma,and good tolerance in patients,and this method is worthy of clinical application.