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目的探讨胸腔积液的治疗方法和效果。方法回顾大量胸腔积液患者305例,包括结核性胸膜炎引起胸腔积液75例,心功能不全引起胸腔积液15例,乳糜胸3例,脓胸28例,恶性肿瘤引起胸腔积液117例,外伤引起血胸67例。治疗方法分:单纯置管引流;置管引流+胸腔内化疗胸膜粘连;引流后开胸。结果全组患者无严重并发症及死亡,大部分患者胸腔积液消失;少部分胸腔积液明显减少;咳嗽、胸闷症状消失。结论胸腔积液应以通畅引流为主,彻底引流积液;药物治疗为辅;少部分患者手术。
Objective To investigate the treatment and effect of pleural effusion. Methods A total of 305 patients with pleural effusion were retrospectively reviewed. Among them, 75 cases of pleural effusion caused by tuberculous pleurisy, 15 cases of pleural effusion caused by cardiac insufficiency, 3 cases of chylothorax, 28 cases of empyema, 117 cases of malignant pleural effusion, Trauma caused hemothorax in 67 cases. Treatment methods: simple catheter drainage; catheter drainage + intrathoracic chemotherapy pleural adhesions; drainage after thoracotomy. Results There was no serious complication and death in all the patients. Most of the patients had hydrothorax disappeared; a small part of pleural effusion decreased obviously; and symptoms of cough and chest discomfort disappeared. Conclusion Pleural effusion should be based on the smooth drainage, drainage fluid completely; drug treatment supplemented; a small number of patients undergoing surgery.