微管胸腔闭式引流在结核性胸腔积液治疗中的应用  

Application of closed thoracic drainage with micro-catheter in treatment of tuberculous pleural effusion

作　　者：王兴民 季海锋 李立伟 戴新建[2] 

机构地区：[1]瑞安市中医院内科,浙江省瑞安325200 [2]温州市第二人民医院呼吸科

出　　处：《中国基层医药》2010年第20期2783-2784,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 观察微管置管胸腔闭式引流治疗结核性胸腔积液的疗效及其安全性.方法 64例结核性胸腔积液患者均分成传统治疗组（对照组）和微管闭式引流组（治疗组）,每组32例.对照组按常规给予间断、定量抽液法治疗.治疗组予微管胸腔闭式引流.结果 两种治疗方法均能有效减少胸腔积液,但治疗组显效率明显高于对照组（P＜0.05）,同时胸膜反应减少,费用降低（P＜0.01）.结论 微管闭式引流具有疗效好,费用低,并发症少和患者乐于接受等优点,可降低医疗风险.Objective To observe the effect and safety of pleural effusion treated by closed thoracic drainage with micro-catheter. Methods A total of 64 cases with pleural effusion were randomly divided into conventional therapy group （ control group ） and closed thoracic drainage with micro-catheter group （ treatment group） , each group including（ 32 cases ）. Control group were treated with drainage of thoracic puncture interruptedly while treatment group treated by closed thoracic drainage with micro-catheter. Results Both two therapeutic methods could reduce pleural effusion, but obvious effective rate of treatment group was higher than that of control group（ P ＜ 0.05 ）. Meanwhile, the rate of pleural reaction and treatment cost in treatment group were lower than that in control group. Conclusion Closed thoracic drainage with micro-catheter was effective, lower treatment cost and lower complications. Moreover, it could reduce medical risk.

关 键 词：微管闭式引流 胸腔积液 临床疗效 

分 类 号：R5[医药卫生—内科学]