中心静脉导管留置加尿激酶治疗包裹性脓胸  

Treatment of encapsulated purulent pleural effusion by using central venous catheter and urokinase injection

作　　者：张堰冬[1] 张华[1] 袁恺[1] 

机构地区：[1]四川省凉山州第一人民医院胸外科,四川凉山615000

出　　处：《医学信息（中旬刊）》2010年第8期1996-1997,共2页Medical Information Operations Sciences Fascicule

摘　　要：目的:观察超声引导下穿刺中心静脉导管留置联合尿激酶治疗包裹性脓胸的新方法并总结其疗效。方法:利用中心静脉套管针,在超声引导下对50例包裹性脓胸患者进行了穿刺排脓治疗。结果:50例患者中,经反复融解抽吸后50例患者均痊愈。平均抽液量为(650±216.8)ml。未再发现胸液增加者50例,占100%。结论:该方法是一种安全有效的包裹性脓性胸腔积液的穿刺排脓方法。Objective：To observe the curative effect of treatment of encapsulated purulent pleural effusion by using central venouscatheter with ultrasonic guidance and intracvitary urokinase.Methods：Fifty patients with encapsulated empyema were treated with ultrasoundguided drainage by the deep intravenous cannula needle.Results：Fifty patients were cured.The average aspiration volume of pleural fluid is（650 ±216.8）ml.All fifty cases didn＇t find pleural fluid increasing again.Conclusion：Using deep intravenous catheter with ultrasonic guidance and adjunctive intracavitary urokinase therapy is a safe and effective method in draining the encapsulated purulent pleural effusion.

关 键 词：脓胸 治疗 中心静脉导管 尿激酶 

分 类 号：R181.34[医药卫生—流行病学]