微导管引流胸腔积液临床研究  

Clinical study on micro-catheter drainage for pleura effusion

作　　者：王开云 苟升东 吴炬 刘建红 王海霞 彭亚岚 熊敏 

机构地区：[1]攀枝花第二人民医院呼吸科,四川攀枝花617068

出　　处：《现代医药卫生》2010年第9期1300-1301,共2页Journal of Modern Medicine & Health

摘　　要：目的:观察微导管置入胸腔引流治疗胸腔积液的疗法、疗效。方法:选取经胸片、B超诊断胸腔积液的入院病例54例。采用微导管(中心静脉导管)胸腔内置入引流,并根据病因诊断情况胸腔内给药治疗,观察治疗效果、不良反应、操作可行性并进行临床分析。结果:临床症状明显改善,胸腔积液消失、减少,有效率达100%,无严重并发症。结论:微导管引流胸腔积液技术值得发展,但需适宜耗材支持。Objective：To observe the treatment and curative of drainage of pleural effusion by micro-catheter.Methods：We selected 54 cases of hospitalized patients diagnosed as pleural effusion by X-ray,B ultrasound. We implanted micro-catheter （central venous catheter） into to chest drainage and take intrapleural injection with medicine by pathogen diagnosis. We observed therapeutic effects ,adverse reactions,the feasibility of such operations,and took clinical analysis.Results：Clinical symptoms were improved significantly. Pleural effusion disappeared or reduced. Pleural adhesions were significantly reduced,and the effective rate was 100%. There were no serious complications. But for relatively complicated cases,the equipment and technology should need to be improved. Conclusion：Drainage of pleural effusion by micro-catheter deserves development,but needs further technical and equipment supports.

关 键 词：微导管 治疗 胸腔积液 

分 类 号：R5[医药卫生—内科学]