论文部分内容阅读
胸腔内注入链激酶治疗5例持续性脓胸患儿获得成功.患儿年龄18个月～7岁,均为常规治疗(静脉输注抗生素,胸腔内插管引流等)无效、准备行开胸胸膜外纤维层剥除术者。方法与结果治疗前凝血系统检查正常,提前应用镇痛药。链激酶20万～150万单位(每次12300～136000单位/kg)溶于50ml 无菌生理盐水中,5min内经胸腔引流管注入胸膜腔;夹闭引流管2h,嘱患者每隔15min 变动一次体位,以促进药液均匀分布。2h后以—2.67kPa 的压力开放引流至次日再灌注。每日1次直到脓胸改善。患者疗程最短2次,最大5次,无
Thoracic infusion of streptokinase treatment of 5 cases of persistent empyema in children with success.The children aged 18 months to 7 years old, are routine treatment (intravenous infusion of antibiotics, intubation, etc.), chest preparation for chest open Extrapleural pleural layer stripping surgery. Methods and Results Before treatment, the coagulation system was normal and analgesics were applied in advance. Streptokinase 200000 ~ 1500000 units (each 12300 ~ 136000 units / kg) was dissolved in 50ml sterile saline, 5min within the chest drainage tube into the pleural cavity; clamping drainage tube 2h, Zhu Huanzhe change every 15min position , To promote the uniform distribution of liquid medicine. After 2h -2.67kPa pressure drainage to the next day reperfusion. 1 day until empyema improves. Patient treatment shortest 2 times, the maximum 5 times, no