复合式胸腔穿刺针在结核性脓胸诊断及治疗中的应用  

The application of compound thoracic puncture needle in the diagnosis and treatment of tuberculous empyema

作　　者：张德利[1] 刘海涛[1] Zhang Deli;Liu Haitao(Department of Internal Medicine,Tuberculosis Hospital of Siping City,Jilin Siping 136001)

机构地区：[1]四平市结核病医院内科

出　　处：《中国社区医师》2019年第36期50-51,共2页Chinese Community Doctors

摘　　要：目的:评价复合式胸腔穿刺针在结核性脓胸临床诊断及治疗中的应用效果。方法:2016年3月-2018年5月收治疑似结核性脓胸患者152例,随机分为两组,各76例。常规组实施常规穿刺抽液;研究组应用一次性复合式胸腔穿刺针实施穿刺抽液。对抽出脓液进行化验,确诊后均给予两组常规对症治疗。比较两组治疗效果。结果:两组穿刺后抽出脓液中均检出结核杆菌,均确诊为结核性脓胸。研究组并发症发生率低于常规组,治疗总有效率高于常规组,差异均有统计学意义(P<0.05)。结论:复合式胸腔穿刺针用于结核性脓胸的临床诊治,可进一步提高临床诊治安全性,改善治疗效果。Objective:To evaluate the application effect of compound thoracic puncture needle in the treatment of tuberculous empyema.Methods:152 patients with suspected tuberculous empyema were selected from March 2016 to May 2018,they were randomly divided into the two groups with 76 cases in each group.The conventional group was treated with conventional thoracic drainage.In the study group,one-time compound thoracic puncture needle was used for thoracic drainage.The pus was taken for testing,and both groups were given conventional symptomatic treatment after diagnosis.We compared the effects of the two groups.Results:Mycobacterium tuberculosis was detected in pus of both groups after puncture,and all were diagnosed as tuberculous empyema.The incidence of complications in the study group was lower than that in the conventional group,and the total effective rate of treatment was higher than that of the conventional group;the differences were statistically significant(P<0.05).Conclusion:The application of compound thoracic puncture needle in the diagnosis and treatment of tuberculous empyema can further improve the safety of clinical diagnosis and treatment and improve the therapeutic effect.

关 键 词：复合式胸腔穿刺针 结核性脓胸 诊断 

分 类 号：R521.7[医药卫生—内科学]