中心静脉导管置管引流治疗老年胸腔积液的体会

Central Venous Catheter Drainage in Treatment of Senile Pleural Effusion

目的观察中心静脉导管置管引流治疗老年胸腔积液的临床疗效和安全性。方法通过经皮穿刺,将单腔中心静脉导管置入胸膜腔持续引流胸腔积液,可缓解症状,以帮助诊断、注入药物。结果 80例胸腔积液患者79例穿刺置管成功,1例因胸壁组织过度肥厚穿刺成功,但置管困难放弃,置管成功率达98.75%。结论中心静脉导管留置胸腔治疗老年胸腔积液是一种简便、有效、安全、创伤小,痛苦少、老年患者容易接受的治疗方法。

Objective To observe the central venous catheter drainage in clinical efficacy and safety in treatment of elderly patients with pleural effusion. Method Through percutaneous puncture, the single lumen central venous catheter drainage of pleural cavity pleural effusion, can alleviate symptoms, diagnosis, drug injection to help. Results 80 cases of 79 cases of patients with pleural effusion puncture catheter, 1 cases of chest wall hypertrophy due to excessive puncture success, but difficult to abandon catheter, the success rate of catheterization was 98.75%. Conclusion The central venous catheter drainage in the treatment of senile pleural effusion is a simple, effective, safe, less trauma, treatment less pain, easily accepted by the patients in the elderly.