静滴式引流术在结核性胸腔积液治疗中的应用价值探讨

Study on therapeutic effects of tuberculous pleural effusion by using drainage in the method of intravenous guttate

目的 探讨静滴式引流术在结核性胸腔积液治疗中的应用价值。方法 2 1 7例结核性胸腔积液按不同治疗方法分为引流组 (5 3例 )、抽液组 (1 0 7例 )及保守组 (5 7例 ) ,对 3组病人的引流、抽液的穿刺次数、持续时间、排出的胸液量及发生胸膜肥厚的情况进行统计分析对比。结果 引流组与抽液组相比 ,穿刺次数明显减少 ,排液持续时间长 ,首次引流胸液量大 ,且无并发症。遗留胸膜肥厚 ,引流组明显少于其他两组。结论 静滴式引流术用于结核性胸腔积液的疗效优于常规胸穿抽液术及保守疗法。

Objective Study on therapeutic effects of tuberculous pleural effusion by using drainage in the method of intravenous guttate. Methods By different therapeutic methods 217 tuberculous pleural effsuion was divided into drainage in the method of intravenous guttate group(53 cases)?thoracentesis group(107cases) and conservative management groups(57 cases), statistic analyze times of centesis,duration,effusion quantity and pleural incrassation of three groups. Results Pleural incrassation of drainage in the method of intravenous guttate group was less than other two groups, the times of centesis was less than thoracentesis group, but duration is more,the first effusion quantity of drainage in the method of intravenous guttate group was more than thoracentesis groups, and none occures complication. Conclusion Drainage in the method of intravenous guttate used to treat tuberculous pleural effusion cxcels thoracentesis and conservative management.