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目的:探讨如何尽快引流胸腔积液。方法:选择2009年-2013年因胸腔积液入院的患者,入院时随机分为常规组和持续引流组,两组第1次均抽胸水600 m L,随后常规组每天定量抽胸水800 m L,持续引流组为第1次抽胸水后,每隔1 h,开放引流100 m L,夜间睡眠期间保持关闭,如最后一次引流量不足100 m L,则持续开放。观察两组胸水的引流时间和不良反应。结果:常规引流组胸水引流时间为(5.3±4.4)d,持续引流组(1.9±2.1)d,两组差异具有统计学意义(P<0.05),其中常规组第1天胸水引流量为600 m L,随后每天引流800 m L,而持续引流组除了21例第1天引流干净外,其余86例引流量达(2000±245)m L;常规治疗组有2例胸痛,持续引流组有5例胸痛,两组差异无统计学意义(P>0.05))。结论:大量胸腔积液患者抽出胸水600 m L后,每隔1 h间断引流100 m L是安全的,能明显缩短胸水的引流时间。
Objective: To explore how to drain pleural effusion as soon as possible. Methods: Patients admitted for pleural effusion from 2009 to 2013 were randomly divided into conventional group and continuous drainage group. The first group was given 600 ml of pleural effusion, and then the routine group was given a volume of 800 ml . After continuous pleural effusion was performed for the first time, patients in the continuous drainage group were allowed to open and drain 100 m L every 1 h and kept closed during nighttime sleep. If the last drainage volume was less than 100 m L, they would remain open. The drainage time and adverse reactions of the two groups were observed. Results: The drainage time of pleural effusion was (5.3 ± 4.4) days in conventional drainage group and 1.9 ± 2.1 days in continuous drainage group (P <0.05), in which the drainage volume of pleural effusion on day 1 was 600 ml, followed by daily drainage of 800 mL, while in the continuous drainage group, except for the 21 cases who were drained cleanly on the first day, the remaining 86 cases of drainage reached (2000 ± 245) m L; the conventional treatment group had 2 cases of chest pain and the continuous drainage group had 5 cases of chest pain, no significant difference between the two groups (P> 0.05)). CONCLUSIONS: After pleural effusion is withdrawn in 600 ml of pleural effusion, a large number of patients with pleural effusion intermittently drain 100 m L every 1 h is safe and can significantly shorten the drainage time of pleural effusion.