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目的:评价中心静脉导管胸腔闭式引流治疗中～大量胸腔积液的疗效。方法:选择570例经超声、X线胸片或CT片证实有中～大量胸腔积液的患者,中心静脉导管胸腔闭式引流组270例,胸腔穿刺组300例。结果:中心静脉导管胸腔闭式引流组较胸腔穿刺组并发症少,胸腔积液消失时间缩短、住院时间缩短、综合费用减少。结论:中心静脉导管胸腔闭式引流操作简单,创伤小,并发症少,能彻底引流,明显缩短治疗时间,费用低,不影响患者活动,材料便宜,容易获取,特别值得在基层医院推广应用。
Objective: To evaluate the efficacy of pleural effusion in the treatment of central venous catheter thoracic drainage. Methods: A total of 270 patients with moderate to large pleural effusion confirmed by ultrasonography, X-ray or CT were selected. 270 patients were treated by thoracic drainage of central venous catheter and 300 patients by thoracentesis. Results: The complications of thoracic drainage in central venous catheters were less than those in thoracentesis, the disappearance of pleural effusion was shortened, the hospitalization time was shortened, and the comprehensive cost was reduced. Conclusion: Central venous catheterization of thoracic drainage is simple, less traumatic, less complications, can be completely drained, significantly shortening the treatment time, low cost, does not affect patient activity, cheap materials, easy access, especially worthy of promotion and application in primary hospitals.