深静脉置管技术在胸腔积液引流中的应用  

The Application of Deep Venous Catheter Technology in the Drainage of Pleural Effusion

作　　者：张长弓[1] 钱可宝[1] 向旭东[1] 王巍炜[1] 陈楠[1] 叶联华[1] 郭刚[1] 

机构地区：[1]云南省肿瘤医院胸外科,650118

出　　处：《中国医药指南》2010年第15期20-21,共2页Guide of China Medicine

摘　　要：目的探讨深静脉置管技术在胸腔积液引流中的临床意义和适应证。方法对462例中等量以上胸腔积液的患者,采用深静脉置管技术,将导管通过导丝保留在胸腔内,定时引流胸水和注射药物。结果 462例患者抽取胸水进行了细胞学诊断,其中肺癌368例;胸膜间皮瘤22例;肺结核52例。其中中等量胸水286例,大量胸水176例,留置引流管最长时间为42d,最短为2d。462例中有378例多次经胸腔内注射化疗药物治疗,无1例失败和并发症。结论采用深静脉置管技术行胸腔积液引流既便于随时引流,同时又可做诊断及胸腔内注药化疗。此法操作安全、简便、费用低,是目前治疗恶性胸腔积液的有效方法 。Objective To research the deep venous catheter drainage of pleural effusion in the clinical significance and indication. Methods 462 eases of moderate and above the amount of pleural effusion of patients with deep venous catheter technology to retain the catheter guide wire through the chest, the timing pleural effusion drainage and injection of drugs. Results 462 cases of patients who had cytologic diagnosis of pleural effusion taken, lung cancer 368 cases; pleural mesothelioma 22 cases; phthisis 52 cases, moderate pleural effusion286 cases, large pleural effusion 176 cases, The longest indwelling tube for 42 days, a minimum of 2 days. 378 cases of intrapleural injection of chemotherapy after repeated drug treatment, all cases no failures and complications. Conclusion The technique of deep venous catheter drainage of pleural effusion in both lines at any time to facilitate drainage, and also make the diagnosis and chemotherapy for intrathoracic injection. This method is safe, simple, low cost, is currently the treatment of malignant pleural effusion of moderate or more effective way.

关 键 词：静脉置管技术 胸腔积液引流 

分 类 号：R73[医药卫生—肿瘤]