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目的探讨对肺脓肿采用超声导向穿刺置管引流治疗的价值。方法对28例外周肺脓肿患者于全身有效抗生素治疗的同时,在超声引导下行18GPTC介入穿刺针穿刺及中心静脉导管置管引流冲洗治疗。结果 28例外周肺脓肿患者,穿刺抽吸及置管引流后,患者自觉症状迅速好转,体温在16～24h内降至正常,2周内脓腔消失25例,脓腔明显缩小的3例。于3周后复查脓腔消失。结论外周肺脓肿患者在全身有效抗生素治疗下,同时行脓腔穿刺置管引流治疗可缩短疗程,且无明显并发症。
Objective To investigate the value of catheter-guided drainage in the treatment of pulmonary abscess. Methods Twenty-eight patients with peripheral abscess were treated with effective antibiotics while under the guidance of ultrasound guided 18GPTC interventional puncture needle and central venous catheter drainage. Results In 28 patients with peripheral abscess, aspiration and catheter drainage were performed, the patients’ symptoms improved rapidly, their body temperature decreased to normal within 16 ~ 24h, 25 disappeared within 2 weeks, and 3 patients with abscess conspicuously reduced. Abdominal cavity disappeared after 3 weeks. Conclusions Peripheral pulmonary abscess patients treated with effective antibiotics in the whole body and simultaneous abscess drainage tube drainage therapy can shorten the course of treatment without obvious complications.