改良胸腔留置中心静脉导管治疗胸腔积液的临床效果及其不良反应  

Clinical Effect and Adverse Reaction of Improved Thoracic Cavity Indwelling Central Venous Catheter in the Treatment of Pleural Effusion

作　　者：张秋荣[1] 

机构地区：[1]广西壮族自治区河池市第三人民医院呼吸内科,河池547000

出　　处：《中国医药导刊》2017年第7期655-656,共2页Chinese Journal of Medicinal Guide

基　　金：河池市科学研究与技术开发计划课题(项目编号:1587-4-1);课题名称:改良胸腔留置中心静脉导管治疗胸腔积液的临床应用研究

摘　　要：目的:观察胸腔内留置中心静脉导管引流治疗胸腔积液的临床效果及其不良反应。方法:选择2012年1月~2016年12月来我院治疗的80例胸腔积液患者,根据病例单双号分为40例观察组,40例对照组,观察组应用改良胸腔留置中心静脉导管治疗,对照组应用传统胸腔穿刺术治疗,对比两组不良反应、住院时间、胸腔积液吸收时间。结果:观察组胸腔积液吸收时间明显短于对照组,两组对比差异有统计学意义(P<0.05)。结论:改良胸腔留置中心静脉导管治疗胸腔积液的临床效果较好,可以缩短胸腔积液时间和住院时间,而且气胸、胸膜等不良反应较少,引流效果更为理想。Objective： To observe the clinical effect and adverse reaction of central venous catheter drainage in the treatment of pleural effusion. Methods： 80 cases of patients with pleural effusion from January 2012 to December 2016 in the author＇s hospital were selected as the research object,according to random the table method number,80 were patients into divided group control and observation group,respectively using indwelling pleural puncture and improvement of traditional pleural central venous catheter treatment,compared two groups of pleural effusion absorption time,hospitalization time and adverse reaction. Results： The absorption time of pleural effusion in the observation group was shorter significantly that than control in the group,and significant there was difference the between two groups（ P 0. 05）.Conclusion： The clinical effect of thoracic modified central indwelling catheter venous in treatment the of pleural effusion pleural effusion is better,can shorten the time and hospitalization time,and adverse reactions such as pneumothorax,pleural drainage is less,the effect is more ideal.

关 键 词：胸腔 中心静脉导管 引流 胸腔积液 不良反应 

分 类 号：R561.3[医药卫生—呼吸系统]