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目的观察穿刺置管引流结核渗出性胸膜炎的临床效果。方法结核渗出性胸膜炎胸水达中等量或以上者病人50例,随机分为抽液组25例和穿刺置管引流组25例,二组均同样采用短程化疗,抽液组每日常规抽胸水1次,病人出现咳嗽等胸膜反应操作停止。置管引流组,持续引流,观察二组相应时间胸水排除量、胸片判定残留胸水情况,3个月后 CT 参照健侧胸膜判定患侧胸膜增厚情况。结果置管引流具有清除胸水彻底、胸膜增厚少、与抽液组比较差异有显著性(P<0.05)、具有操作简单、安全、实用的优点。结论穿刺置管引流对结核渗出性胸膜炎疗效确切。
Objective To observe the clinical effect of puncture catheter drainage tuberculosis exudative pleurisy. Methods Fifty patients with tuberculous exudative pleurisy pleural effusion with moderate or more volume were randomly divided into 25 patients in the aspiration group and 25 patients in the catheterization and drainage group. The two groups were also treated with short-course chemotherapy, 1 times, patients with cough and other pleural reaction to stop. The catheter drainage group, continuous drainage, observe the two groups of corresponding time pleural effusion, chest X-ray determination of residual pleural effusion, 3 months after CT reference to the contralateral pleura to determine the ipsilateral pleural thickening. The results of catheter drainage with complete removal of pleural effusion, pleural thickening less, compared with the pumping group was significantly different (P <0.05), with simple, safe and practical advantages. Conclusion Puncture catheter drainage of tuberculosis exudative pleurisy curative effect is exact.