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目的评价胸腔留置中心静脉导管法治疗老年胸腔积液患者的临床疗效。方法以2005-02-2011-08在解放军第309医院住院的156例中等量以上的胸腔积液老年患者用胸腔留置中心静脉导管法和同期住院148例中等量以上的胸腔积液老年患者用常规穿刺抽吸法治疗胸腔积液的临床资料进行回顾分析。结果胸腔留置中心静脉导管法治疗胸腔积液成功率高,疗效快,有效率100%,并发症极少,减少了胸腔穿刺,明显优于常规穿刺抽液法。结论胸腔留置中心静脉导管法治疗老年胸腔积液患者的疗效好,既安全又可靠,值得临床推广应用。
Objective To evaluate the clinical effect of thoracic central venous catheterization in the treatment of elderly patients with pleural effusion. Methods From 2005-02-2011-08, 156 middle-class elderly patients with pleural effusion who were hospitalized in the 309th People’s Liberation Army Hospital were enrolled in this study. Thirty-five elderly patients with pleural effusion of the same amount who were hospitalized during the same period underwent thoracic central venous catheterization. The clinical data of puncture and suction method for the treatment of pleural effusion were retrospectively analyzed. Results The pleural indwelling central venous catheterization had a high success rate of pleural effusion, rapid curative effect, 100% efficiency and minimal complication, which reduced thoracentesis and was superior to conventional puncture and pumped method. Conclusion Pleural indwelling central venous catheterization in the treatment of elderly patients with pleural effusion has good curative effect, which is safe and reliable and worthy of clinical application.