经皮穿刺胸腔置入中心静脉导管治疗胸腔积液临床疗效分析  

CLINICAL ANALYSIS OF EFFICACY OF INSERTING CENTRAL VENOUS CATHETER INTO THORACIC CAVITY BY PERCUTANEOUS PUNCTURE IN THE TREATMENT OF PATIENTS WITH PLEURAL EFFUSION

作　　者：黄玉蓉[1] 郭素君[1] 李玮[1] 张海涛[1] 

机构地区：[1]新疆生产建设兵团医院呼吸内科,乌鲁木齐830000

出　　处：《现代预防医学》2008年第12期2370-2371,2373,共3页Modern Preventive Medicine

摘　　要：[目的]探讨经皮穿刺胸腔置入中心静脉导管持续引流替代反复多次胸腔穿刺抽液治疗各种病因所致中或大量胸腔积液的临床应用价值。[方法]对我院2003年1～2007年6月收治的各种病因的胸腔积液病例中经胸部X线和/或胸部超声检查确诊为中或大量胸腔积液的病例357例,随机分成2组(治疗组143例及对照组214例),分别用中心静脉导管持续胸腔引流和反复多次的胸腔穿刺抽液治疗,对这两种治疗方法的效果、出现并发症情况、住院费用进行比较。[结果]两种方法相比:胸水吸收时间[(7.34±4.86)]dVS[(20.14±8.76)d],胸膜反应(1.40%VS9.81%),胸水包裹发生率(0%VS15.89%),气胸发生率(0%VS1.87%),住院费用[(1291.52±716.59)元VS(1736.49±1211.43)元],治疗后第3个月的胸膜厚度[(1.04±0.18)mmVS(2.15±0.31)mm],各项指标对比其差异均有统计学意义(P﹤0.05)。[结论]经皮穿刺留置中心静脉导管持续胸腔引流治疗胸腔积液方法简单、方便、安全、经济,患者痛苦少、效果好,值得临床推广。[Objective] To explore the clinical apphcation significance of inserting central venous catheter into thoracic cavity by pereutaneous puncture, to constant drainage to instead of multiple thoracentesis to draw pleural effusion in the treatmentof patients with pleural effusion due to different diseases. [ Methods] 357 cases with medium or large amounts of pleura] effusion due to different diseases proved by X-ray or bosom uhrasonograph were randomly divided into experimental group （n=143） and control group （n= 214） in our hospital from January 2003 to June 2007, the two groups were treated w＇ith inserting central venous catheter to constant drainage and multiple thoracentesis to draw pleural effusion, respectively. The effectiveness, complication and cost of hospitalization in two groups were compared. [ Results] The average time of pleural effusion absorption in experimental group and control group were （7.34 ± 4.86） days and （20.14 ± 8.76） days, respectively, the pleural reaction of the two groups were 1.40% and 9.81%, respectively, the hydrothorax wrap incidence were 0% and 15.89%, respectively, the pneumothorax incidence were 0% and 1.87%, respectively, as well as the average hospitalization total costs were 1 291.52 ± 716.59 Yuan and 1 736.49 ± 1 211.43 Yuan. After treatment for three months, the pleural thickness in experimental group was （1.04 ± 0.18） mm while （2.15 ± 0.31） mm in control group. All indexes showed to be significant difference between the two groups （P 〈 0.05）. [ Conclusion ] Draining with inserting central venous catheter into thoracic cavity by pereutaneous puncture in patients with pleural effusion has the advantages of easy, convenience, safe, cost-effective, little painfid and efficacy, which should lie spread in clinic.

关 键 词：中心静脉导管 胸腔积液 临床疗效 

分 类 号：R561[医药卫生—呼吸系统]