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目的探讨中心静脉导管在小儿肺炎旁胸腔积液(PPE)治疗中的价值及安全性。方法将68例经超声确诊为中或大量PPE的患儿,随机分成两组:治疗组(n=34例)行中心静脉导管持续胸腔闭式引流,对照组(n=34例)行传统胸腔穿刺引流,比较两组胸腔积液的引流量、退热时间、气促改善时间、胸水吸收时间、住院时间等。结果治疗组的引流量、气促改善时间、胸水吸收时间、住院时间、病原诊断率优于对照组,组间比较差异有统计学意义。治疗组的退热时间、并发症、不良反应与对照组比较差异无统计学意义。结论中心静脉导管持续胸腔闭式引流是一种操作简单、效果好、损伤小且安全的治疗方法,尤其值得在儿科推广。
Objective To investigate the value and safety of central venous catheter in the treatment of pediatric pleural effusion (PPE). Methods Sixty-eight children with moderate or large PPE diagnosed by ultrasound were randomly divided into two groups: the treatment group (n = 34) underwent continuous thoracic drainage by central venous catheter, the control group (n = 34) Puncture and drainage were compared between the two groups, drainage of hydrothorax, antipyretic time, shortness of breath to improve time, pleural effusion, hospitalization time. Results The drainage volume, the time of improvement of shortness of breath, the time of pleural effusion absorption, the length of hospitalization and the pathogen diagnosis rate of the treatment group were better than those of the control group. There was significant difference between the two groups. The treatment group’s antipyretic time, complications, adverse reactions and the control group, no significant difference. Conclusion Central venous catheter continuous thoracic drainage is a simple, effective, less invasive and safe treatment, especially in pediatric promotion.