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目的:探讨经外周中心静脉导管置入胸腔辅助治疗结核性胸腔积液的作用。方法:确诊结核性胸腔积液患者72例,在正规抗结核治疗下随机选取38例行经外周中心静脉导管置入胸腔引流胸腔积液作为治疗组,34例采用常规胸穿针抽水法治疗作为对照组。有分隔和包裹性积液每次注入尿激酶20万U加30ml生理盐水,胸腔B超动态监测疗效。结果:治疗组抽液总量较对照组多差异有统计学意义(P<0.01);而胸膜腔分隔、包裹、胸痛等较对照组轻。结论:经外周中心静脉导管置入胸腔治疗结核性胸腔积液优于常规穿刺抽水治疗。
Objective: To investigate the effect of peripherally inserted central venous catheters in the treatment of tuberculous pleural effusion. Methods: Seventy-two patients with tuberculous pleural effusion were diagnosed. Thirty-eight patients with tuberculous pleural effusion were selected randomly under the regular anti-tuberculosis treatment. Thirty-eight patients were treated by percutaneous central venous catheter into thoracic drainage pleural effusion. Control group. Separated and encapsulated fluid each injection of urokinase 20 million U plus 30ml saline, chest ultrasound B-dynamic monitoring of the effect. Results: The total amount of fluid extraction in the treatment group was significantly higher than that in the control group (P <0.01), while the separation of the pleural space, parcels and chest pain were lighter than those in the control group. Conclusion: The treatment of tuberculous pleural effusion by the peripheral central venous catheter into the thoracic cavity is superior to the conventional puncture and pumped therapy.