我们应用B超引导同步胸穿治疗包裹性胸膜炎30例,取得了满意的疗效,现报道如下。 病例选择 本组30例除2例最后诊断为肺癌外,均为慢性结核性包裹性胸膜炎。病程3个月～20年。 积液的部位、范围和积液量 积液部位多在侧胸壁,少数在后胸壁。最大包裹B超示10×8cm,积液量256ml。最小包裹B超示2×1cm,积液量10ml。其中初诊患者3例,胸膜增厚明显,肺部有钙化点。临床无发热,而胸闷、乏力已分别3、7个月和1年。 方法 确诊后常规进行抗结核药物治疗。胸穿时先用普通探头扫查,定位,胸穿按常规操作。沿穿刺 We applied B-mode ultrasound guided thoracentesis in the treatment of 30 cases of encapsulated pleurisy and achieved satisfactory results. The report is as follows. Case selection In this group of 30 patients, except for the 2 patients with the final diagnosis of lung cancer, all were chronic tuberculous encapsulated pleurisy. Duration of 3 months to 20 years. The location, extent, and effusion of effusion The effusion site is mostly on the lateral chest wall and a few on the posterior chest wall. The largest package B ultrasound shows 10 × 8cm, effusion volume 256ml. The minimal package B-shows 2×1cm and the volume of fluid is 10ml. Three of the newly diagnosed patients had pleural thickening and calcified spots in the lungs. There was no fever in the clinic, and chest tightness and fatigue were 3, 7 months and 1 year respectively. Methods Anti-tuberculosis drugs were routinely treated after diagnosis. When thoracic wear first, scan with an ordinary probe, position, and thoracic wear. Puncture along