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1985～1987年8月我科收治结核性胸水70例,其中右侧39例,左侧31例。Ⅰ型(普通型)51例,Ⅱ型(包裹型和叶间型)12例,Ⅲ型(肺底型)7例。全部采用彻底抽水疗法:胸穿针刺入胸膜腔(留针长2cm)后,顺肋间推压针尾部使针尖向下,针尖孔面肺斜置固定,以避免抽水时刺伤复张的肺组织或阻碍引流。用注射器或负压瓶按每分钟50ml±的速度抽水,尽量把胸水一次彻底抽净,一次抽不尽者次日或隔日再次彻底抽
From 1985 to 1987, 70 cases of tuberculous pleural effusion were admitted to our department, including 39 on the right side and 31 on the left side. There were 51 cases of type Ⅰ (normal type), 12 type Ⅱ (parcel type and interlobar type) and 7 type Ⅲ (type of pulmonary type). All using a thorough pumping therapy: Thoracic needle puncture into the pleural cavity (needle length 2cm), along the intercostal space to push the tail down the needle tip, the apical foramen of the lung oblique fixed to avoid stabbing the lungs when pumping water Tissue or impede drainage. With a syringe or negative pressure bottle at a rate of 50ml ± per minute pumping, as soon as possible to completely drain the pleural effusion, once pumping the next day or every other day and then thoroughly pumping