微创中心静脉导管治疗结核性渗出性胸膜炎的临床优势.docVIP

微创中心静脉导管治疗结核性渗出性胸膜炎的临床优势 　　doi：10.3969/j.issn.1007-614x.2014.22.22 　　摘要目的：探讨不同方法抽取胸腔积液治疗结核性渗出性胸膜炎的效果比较。方法：2009年1月-2013年12月收治结核性渗出性胸膜炎患者140例，将其分为观察组和对照组。对照组采用抗结核药物进行治疗，并分多次抽出胸腔积液；观察组在采用抗结核药的基础上一次性进行胸腔积液微创中心静脉导管引流，记录两组治疗情况作对比。结果：两组经过治疗，对照组的退热时间（8.22±1.96）天，观察组的退热时间（4.76±1.81）天；对照组的积液消失时间（13.44±2.96）天，观察组的积液消失时间（8.86±2.18）天，观察组的治疗效果明显优于对照组（P0.05）。结论：在治疗结核性渗出性胸膜炎时尽可能一次性使用微创中心静脉导管引流胸腔积液具有更好的治疗效果，在临床上值得推广应用。关键词结核性渗出性胸膜炎；微创中心静脉导管；效果 　　Clinical advantage of minimally invasive central venous catheter in the treatment of tuberculous exudative pleurisy 　　Bai Liangliang 　　The Second Hospital of Yulin City，Shanxi 719000 　　AbstractObjective：To explore the effect comparison of different methods of extracting pleural effusion in the treatment of tuberculous exudative pleurisy.Methods：140 cases with tuberculous exudative pleurisy were selected from January 2009 to December 2013.They were divided into the observation group and the control group.The control group were treated with anti tuberculosis drugs，and repeatedly extracting pleural effusion.On the basis of anti tuberculosis drugs，the observed group were treated with minimally invasive central venous catheter for disposable drainage of pleural effusion.The treatment conditions of patients in two groups were recorded and compared.Results：After the treatment in two groups，the antifebrile time of the control group was （8.22±1.96） days.The antifebrile time of the observation group was （4.76±1.81） days.The effusion disappear time of the control group was （13.44±2.96） days，The effusion disappear time of the observation group was （8.86±2.18） days.The treatment effect of the observation group was better than that of the control group（P0.05）.Conclusion：In the treatment of tuberculous exudative pleurisy，it is as far as possible to use minimally invasive central venous catheter for disposable drainage of pleural effusion.It can have better treatment effect.It is worthy of popularization and application in clinical. 　　Key wordsTub