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目的:观察医用明胶行胸膜粘连术的临床效果、不良反应及并发症。方法:治疗组42例顽固性胸腔积液患者均采用胸腔闭式引流术,注入医用明胶;对照组42例采用常规胸腔闭式引流术。观察期间两组患者均接受对症支持治疗。结果:治疗组总有效率为92.86%,对照组总有效率为38.10%,两组比较差异有统计学意义(P<0.01)。结论:医用明胶行胸膜粘连术治疗顽固性胸腔积液,疗效好、安全性高。
Objective: To observe the clinical effects, adverse reactions and complications of medical gelatin in pleural adhesion. Methods: Forty-two patients with intractable pleural effusion were treated with closed thoracic drainage and injected with medical gelatin. In the control group, 42 patients underwent closed thoracic drainage. During the observation period, both groups received symptomatic supportive care. Results: The total effective rate was 92.86% in the treatment group and 38.10% in the control group, with significant difference between the two groups (P <0.01). Conclusion: The clinical application of medical gelatin in the treatment of intractable pleural effusion has good curative effect and high safety.