微创置管引流联合地塞米松、尿激酶治疗结核性胸腔积液临床分析  

The Treatment of Tuberulous Pleural Effusions with the Micro-wound Drainage through a Thin Tube and Dexarnethasone and Urokinase.

作　　者：周建国[1] 刘育明[1] 王融江 

机构地区：[1]江西省安福县人民医院,343200

出　　处：《中国医药指南》2008年第21期21-22,共2页Guide of China Medicine

摘　　要：目的探讨置管引流联合地塞米松、尿激酶治疗结核性胸腔积液,防治胸膜粘连、肥厚的疗效。方法在抗结核治疗的同时,将64例结核性胸腔积液患者随机分成两组,治疗组34例,予以微创置管引流,同时胸腔内注射地塞米松、尿激酶治疗;对照组30例,予以反复胸腔穿刺抽液治疗。结果与对照组比较,治疗组效果明显,胸膜粘连,肥厚发生率明显降低,结论微创置管引流联合地塞米松、尿激酶治疗结核性胸腔积液的疗效肯定、安全、实用,能够有效防治胸膜粘连、肥厚发生,值得在临床上推广应用。Obojective To inquire into the curative effect of the treatment of tuberulous pleural effusions with the micro-wound drainage through a thin tube and dexamethason and urokinase and protection against pleural thickening and adhension.Methods Under the antituberculotic treatment.64 patients of tuberculousis pleunisy were divided randomly into the treatment group(34 cases)and the control group(30 cases).The micro-wound drainage in the treatment group were performed with a thin tube with the injeetion of dexame...

关 键 词：胸腔积液 结核 地塞米松 尿激酶 中心静脉导管 

分 类 号：R521.7[医药卫生—内科学]