胸腔微管引流并注入尿激酶治疗结核性胸膜炎  

Curative Effect of Chest Micro-tube Drainage and Injection of Urokinase in Treatment of Tuberculous Pleuritic

作　　者：王伟莉[1] 

机构地区：[1]吉林市结核病防治研究所,吉林吉林132100

出　　处：《中外医疗》2016年第15期133-135,共3页China & Foreign Medical Treatment

摘　　要：目的探讨胸腔微管引流并注入尿激酶治疗结核性胸膜炎的疗效。方法方便选取该所2010年1月—2014年1月的81例结核性胸膜炎患者为研究对象,在正规抗结核治疗下,治疗组45例常规胸腔内留置微管引流胸腔积液,20m L生理盐水+尿激酶10万U胸腔注入夹闭12 h后打开;对照组36例行常规胸腔穿刺术,2次/周。对比两组患者治疗总有效率和不良反应。结果治疗组有效率94.6%,对照组有效率75%。治疗组优于对照组(P<0.05)。结论胸腔微管引流并注入尿激酶治疗结核性胸膜炎安全,简便,疗效好。Objective To study the curative effect of chest micro-tube drainage and injection of urokinase in treatment of tuberculous pleuritic.Methods 81 cases of patients with tuberculous pleuritic treated in our institute from January 2010 to January 2014 were selected as the research objects,both groups were given regular antituberculotic treatment,the treatment group（45 cases） were given conventional intrathoracic micro-tube indwelling for pleural effusion drainage,the thoracic cavity was clipped for 12 h after injection of 20 m L normal saline and 100,000-unit urokinase and then opened,the control group（36 cases） received conventional thoracocentesis twice a week,and the total treatment effective rate and adverse reactions were compared between the two groups.Results The effective rate in the treatment group was better than that in the control group,（94.6% vs 75%）,P〈0.05.Conclusion The curative effect of chest micro-tube drainage and injection of urokinase in treatment of tuberculous pleuritic is good,and it is safe and convenient.

关 键 词：微管 尿激酶 结核性胸膜炎 

分 类 号：R521[医药卫生—内科学]