论文部分内容阅读
目的比较2种不同的方法治疗HIV阳性结核性胸腔积液的临床疗效及安全性。方法治疗组26例予中心静脉导管胸腔置管闭式引流术;对照组28例应用传统胸膜腔穿刺抽液术,每周抽液二三次。观察胸水吸收时间、并发症、胸穿次数、医务人员职业暴露、病人住院天数等情况。结果治疗组:胸水吸收时间(10.35±3.02)d,胸穿次数26次,并发症2例,医务人员职业暴露1例,病人住院天数(19.88±3.51)d;对照组:胸水吸收时间(23.89±4.01)d,胸穿次数86次,并发症9例,医务人员职业暴露2例,病人住院天数(31.55±7.96)d。结论中心静脉导管胸腔置管闭式引流术在治疗HIV阳性结核性胸腔积液患者中疗效与安全性方面优于传统胸膜腔穿刺抽液术。
Objective To compare the clinical efficacy and safety of two different methods in the treatment of HIV-positive tuberculous pleural effusion. Methods Twenty-six patients in the treatment group received central venous catheter thoracotomy for closed drainage. In the control group, 28 patients received conventional pleural puncture drainage and pumped two or three times a week. Observation of pleural effusion time, complications, chest wear, occupational exposure of medical staff, patient days and so on. Results In the treatment group, the time of pleural effusion (10.35 ± 3.02) d, the number of thoracentesis 26 times, the complications of 2 cases, the medical staff occupational exposure 1 case, the hospitalization days (19.88 ± 3.51) d; the control group: the time of pleural effusion (23.89 ± 4.01) d, the number of chest wear 86 times, complications in 9 cases, medical staff occupational exposure in 2 cases, patient hospitalization days (31.55 ± 7.96) d. Conclusions Central venous catheter thoracic tube drainage is superior to conventional pleural puncture drainage in the treatment of patients with HIV-positive tuberculous pleural effusion.