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目的对比常规穿刺术和中心静脉导管引流在胸腔积液治疗中的效果。方法选取2009年3月—2013年4月我院收治的胸腔积液患者30例,将其按照入院时间分为对照组和研究组,各15例。对照组患者应用常规穿刺术治疗,研究组患者应用中心静脉导管引流,比较两组治疗效果和并发症发生情况。结果研究组总有效率为100.0%(15/15),高于对照组的80.0%(12/15)(P<0.05)。研究组患者胸腔积液吸收天数、胸膜增厚度及气胸、肺水肿、胸膜粘连包裹发生率均低于对照组(P<0.05)。结论中心静脉导管引流治疗胸腔积液效果优于常规穿刺术,安全性高,能够有效降低胸膜肥厚发生率。
Objective To compare the efficacy of conventional puncture and central venous catheter drainage in the treatment of pleural effusion. Methods Thirty patients with pleural effusion admitted in our hospital from March 2009 to April 2013 were divided into control group and study group according to admission time, 15 cases in each group. The patients in the control group were treated by conventional puncture. The patients in the study group were treated with central venous catheter drainage. The therapeutic effects and complications were compared between the two groups. Results The total effective rate was 100.0% (15/15) in the study group, which was higher than 80.0% (12/15) in the control group (P <0.05). Pleural effusion days, pleural thickening, pneumothorax, pulmonary edema and pleural adhesions in study group were lower than those in control group (P <0.05). Conclusion Central venous catheter drainage is superior to conventional puncture in the treatment of pleural effusion. It is safe and can effectively reduce the incidence of pleural thickening.