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目的:分析DSA(CGO-2100大型平板C臂血管造影系统)下导丝捣碎胸腔内网络性、多房性包裹分格,抽取胸腔积液置管引流并配合异烟肼、尿激酶胸腔内注射治疗包裹性结核性胸膜炎的效果。方法:对82例包裹性、多房性胸膜炎、胸膜肥厚患者随即分为治疗组(41例)和对照组(41例),治疗组经DSA下穿刺,导丝捣碎胸腔内网络性、多房性、包裹分格,并注入异烟肼、尿激酶,对照组利用B超定位胸腔穿刺抽液,并注入异烟肼、尿激酶药物。结果:治疗组临床症状改善迅速,无胸膜增厚,缩短住院时间,疗效显著。结论:经DSA下抽取胸腔积液置管引流并配合异烟肼、尿激酶胸腔内注射治疗包裹性结核性胸膜炎可以显著改善患者临床症状,减少胸膜增厚的形成,缩短治疗时间,改善预后,值得临床推广。
OBJECTIVE: To analyze the intra-thoracic network in DSA (CGO-2100 large-scale C-arm angiography system), multi-compartment parcels, drainage and drainage of pleural effusion with isoniazid, Injection treatment of tuberculous pleurisy effect. Methods: Eighty-two patients with paroxysmal pleuritis, multiple pleurisy and pleural hypertrophy were randomly divided into treatment group (41 cases) and control group (41 cases). The treatment group underwent DSA puncture and guide wire to smash the intrathoracic network, and more Atrial and parcels were divided into groups and injected with isoniazid and urokinase. Patients in the control group were treated with B-ultrasonography and thoracentesis and were infused with isoniazid and urokinase drugs. Results: The clinical symptoms of the treatment group improved rapidly, without pleural thickening, shorten the hospital stay, the curative effect is remarkable. Conclusion: Treating tuberculous pleurisy with pleural effusion through pleural effusion with drainage of isoniazid and urokinase through DSA can significantly improve the clinical symptoms, reduce the formation of pleural thickening, shorten the treatment time and improve prognosis, Worth clinical promotion.