47例渗出性结核性胸膜炎临床分析  

Clinical analysis of 77 cases of exudative tuberculous pleurisy

作　　者：胡珊 

机构地区：[1]四川省成都市结核病医院,四川成都610016

出　　处：《吉林医学》2010年第12期1591-1592,共2页Jilin Medical Journal

摘　　要：目的:探讨渗出性结核性胸膜炎的临床特点和治疗方法。方法:77例渗出性结核性胸膜炎分为治疗组和对照组,在2HRZE/4HR方案及激素治疗的基础上,治疗组给于经皮留置中心静脉导管抽液、呼吸功能锻炼;对照组给予反复胸腔穿刺抽液,比较两组疗效。结果:治疗组痊愈率、明显好转率及部分好转率分别为76.60%、19.15%及3.26%;对照组为53.33%、33.33%及13.33%。治疗组痊愈率高于对照组,差异具有统计学意义;明显好转率及部分好转率差异无统计学意义。结论:全程化疗,联合口服激素、经皮留置中心静脉导管控制胸水及配合呼吸功能锻炼治疗渗出性结核性胸膜炎,是安全、有效的。Objective To explore clinical characteristics and therapeutical methods of exudative tuberculous pleurisy.Methods 77 cases were divided the therapeutical group and control group. 2 groups were all gave the plan of 2HRZE/4HR and hormone therapy.The control group was pumped fluids by percutaneous indwelling central venous catheter and gave respiratory exercise.The control group was gave repeated pleural puncture fluid.To compared efficacy of two groups.Results The curable rate,markedly improved rate and partly improved rate were 76.60%,19.15% and 3.26% in the therapeutical group.The control group were 53.33%, 33.33% and 13.33%.The curable rate in the therapeutical group was higher than the control group.The difference was significant differences.There were not significant difference of the markedly improved rate and partly improved rate in the 2 groups. Conclusion The chemotherapy combining oral hormone,percutaneous indwelling central venous catheter controlling pleural effusion and respiratory exercise were a safe and effective methods treating exudative tuberculous pleurisy.

关 键 词：渗出性 结核性胸膜炎 疗效 

分 类 号：R521.7[医药卫生—内科学]