中心静脉导管置管闭式引流术治疗类肺炎性胸腔积液临床探讨.docVIP

中心静脉导管置管闭式引流术治疗类肺炎性胸腔积液临床探讨 赵爽 重庆市合川区人民医院 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨中心静脉导管置管闭式引流术在治疗类肺炎性胸腔积液中的应用效果。方法:收治类肺炎性胸腔积液患者48例, 将其分为对照组和观察组, 各24例。对照组采用常规胸腔穿刺抽液减压术治疗, 观察组采用中心静脉导管置管闭式引流术治疗。结果:观察组引流时间、住院时间、术后VAS评分和术后并发症发生率显著优于对照组, 引流总有效率显著升高。结论:中心静脉导管置管闭式引流术可有效去除胸腔积液, 极大减轻患者的疼痛和活动限制, 疗效显著, 操作安全简便。 关键词： 中心静脉导管; 类肺炎性; 胸腔积液; 闭式引流; Clinical study of closed drainage of central venous catheter for the treatment of pneumonic pleural effusion Zhao Shuang Peoples Hospital, Hechuan District, Chongqing City; Abstract： Objective:To investigate the effect of closed drainage with central venous catheter in the treatment of pneumonic pleural effusion.Methods:48 patients with pneumonia pleural effusion were selected.They were divided into the control group and the observation group with 24 cases in each.The patients in the control group were treated by routine thoracic puncture and drainage, and the observation group was treated with central venous catheter closed drainage.Results:The drainage time, hospitalization time, postoperative VAS score and postoperative complication rate of the observation group were significantly decreased, and the total effective rate of the drainage was significantly increased.Conclusion:Central venous catheter closed drainage can effectively remove pleural effusion, greatly reduce patient pain and activity restrictions.The effect is significant, safe and simple operation. Keyword： Central venous catheter; Pneumonia like; Pleural effusion; Closed drainage; 资料与方法 2014年1月-2017年1月收治类肺炎性胸腔积液患者48例, 将其分为对照组和观察组, 各24例。对照组男13例, 女11例;年龄17~87岁, 平均45.6岁;左侧发病10例, 右侧发病14例。观察组男14例, 女10例;年龄18~89岁, 平均47.8岁;左侧发病11例, 右侧发病13例。所有患者入院前均有发热、胸闷、呼吸困难、咳嗽等症状。全部病例均经胸部X线片示胸腔中大量积液;经胸部CT检查后, 排除肺内占位性病变;诊断性胸腔穿刺抽液行细菌培养及生化检查均示符合类肺炎性胸腔积液诊断标准;其他脏器及凝血均未见明显功能障碍。两组患者性别、年龄、积液量和病种分布等一般资料经统计分析, 差异无统计学意义 (P0.05) 。 研究方法:在正常抗炎治疗方案不变的基础上, 对照组和观察组采取不同的闭式引流方法。①对照组采用常规胸腔穿刺抽液减压术:患者取坐立位, 行B超检查确定穿刺点。双人操作, 在穿刺点进行常规消毒铺巾和局部麻醉, 采用普通针头或长针头进行胸膜腔穿刺后,