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目的探讨中心静脉导管置管引流术在胸腔积液治疗中的应用价值。方法将首次发生胸腔积液的患者随机分为实验组和对照组,每组25人,对照组患者当患者胸闷时给予胸腔穿刺,并使用针管抽吸胸水,实验组患者行胸腔穿刺后留置中心静脉导管外接无菌引流袋,定时定速放胸水。对比两组患者的胸水生成速度变化情况,穿刺部位感染情况,患者生活质量等情况。结果实验组患者生成速度较对照组无明显差异,但患者生活质量较对照组有明显改善,两组患者穿刺局部感染情况无明显差异。结论中心静脉导管置管引流术在胸腔积液治疗中具有方便,快捷等优势。避免了反复穿刺对患者造成的痛苦,其临床应用价值肯定,值得在临床中进行推广。
Objective To investigate the value of central venous catheter drainage in the treatment of pleural effusion. Methods The patients with pleural effusion were randomly divided into experimental group and control group with 25 patients in each group. Patients in control group were given thoracentesis when the patient had chest tightness and were aspirated with needle tube. Patients in the experimental group underwent thoracentesis and indwelling center Venous catheter external aseptic drainage bag, timing fixed speed put pleural effusion. The changes of pleural effusion rate, infection of puncture site and quality of life of patients in two groups were compared. Results There was no significant difference in the speed of gene expression between experimental group and control group, but the quality of life of patients in experimental group was significantly improved compared with that of control group. There was no significant difference between the two groups in the local infection of puncture. Conclusion Catheter catheter drainage has the advantages of convenience, quickness and other advantages in the treatment of pleural effusion. To avoid the pain caused by repeated puncture patients, the clinical value of its affirmation, it is worth in the clinical promotion.