自2005年7月至2006年7月住院的大量胸腔积液患者42例,全部病例均有 X 线或 B 超显示到大量胸腔积液且均存在呼吸困难症状。笔者采用中心静脉导管引流治疗大量胸腔积液取得满意疗效。穿刺部位多取腋后线第6～8肋间或 B 超定位。常规消毒,铺巾,利多卡因局麻。穿刺针沿肋骨上缘缓慢进针,当脱空感后,回抽注射器见有积液吸出。插入钢丝,拔针,使用扩张器,沿导丝扩张穿刺通路。退出扩张器,沿导丝置入中心静脉导管,使其在胸腔内保留约10 cm。退出导丝,抽出积液,证实导管通畅。用透明敷贴固定导管,外接三通引流袋,缓慢放液。每日 From July 2005 to July 2006 a large number of hospitalized patients with pleural effusion in 42 cases, all cases were X-ray or B ultrasound showed pleural effusion and there are symptoms of dyspnea. The author of the central venous catheter drainage treatment of pleural effusion to obtain satisfactory results. More puncture site to take the axillary line 6 to 8 intercostal or B-positioning. Conventional disinfection, shop towel, lidocaine local anesthesia. Puncture needle along the edge of the rib slowly into the needle, when the sense of indentation, back to the syringe saw effusion suction. Insert the wire, pull the needle, use the dilator, and expand the piercing access along the guidewire. Exit the dilator, place the central venous catheter along the guidewire, leaving it approximately 10 cm inside the chest cavity. Quit the guide wire, withdraw fluid, confirmed catheter unobstructed. Fixed catheter with a transparent stick, external three-way drainage bag, slow release solution. daily