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目的通过46例恶性胸腔积液患者留置中心静脉导管引流,探讨中心静脉导管行胸腔引流的优势及临床护理要点。方法采用回顾性分析的方法,收集该科2013年1月—2014年1月的72例肺癌及乳腺癌患者出现恶性胸腔积液的患者,随机分为治疗组46和对照组各26例,对照组给予行胸腔闭式引流术;治疗组给予行中心静脉导管引流。结果治疗组患者均顺利完成治疗,未发生严重的并发症,治疗组胸腔积液缓解总有效率达80.00%,生活质量KPS评分较高,患者无进展生存期(PFS)和总生存期(OS)明显延长。结论恶性胸腔积液患者留置中心静脉导管引流具有微创的优势,通过临床合理、科学的护理,可明显降低感染几率,值得临床护理的重视。
Objective To investigate the advantages and clinical nursing points of central venous catheter in thoracic drainage in 46 patients with malignant pleural effusion by central venous catheter indwelling. Methods A retrospective analysis was performed to collect 72 cases of malignant pleural effusion in 72 patients with lung cancer and breast cancer from January 2013 to January 2014. The patients were randomly divided into treatment group 46 and control group 26 cases, Group was given closed thoracic drainage; the treatment group was given central venous catheter drainage. Results The patients in the treatment group were successfully treated without serious complications. The total effective rate of pleural effusion in treatment group was 80.00%, and the KPS score of quality of life was higher. The progression-free survival (PFS) and overall survival (OS) ) Significantly longer. Conclusion Malignant pleural effusion patients with central venous catheter drainage has the advantage of minimally invasive, through clinical reasonable and scientific care, can significantly reduce the risk of infection, deserves clinical care attention.