王志国吴国成张桃红程海林陈焕方玉林
（医院，安徽安庆）
目的探讨微创胸导管闭式引流术治疗结核性渗出性胸膜炎的疗效。方法选取82例结核性胸膜炎患者，其中置管组42例，采用微创胸导管闭式引流术；胸穿组40例，采用多次常规胸腔穿刺术。结果置管组在胸水吸收天数、症状好转天数及住院天数方面均优于胸穿组（P0.05）。置管组在胸膜增厚发生率上少于胸穿组（P0.05）。两组在胸腔内出血、气胸、堵管、感染、胸膜反应及导管脱落等并发症方面差异无统计学意义（P0.05）。结论微创胸导管闭式引流术治疗结核性胸膜炎优于胸腔穿刺术，值得临床推广。
结核性胸膜炎；闭式引流术；胸腔穿刺术
R.
A
Clinicaleffectusingmini-invasivechestcathetercloseddrainageintreatingtuberculouspleurisyWANGZhi-guo,WUGuo-cheng,ZHANGTao-hong,CHENGHai-ling,CHENHuan,FANGYu-lin.RespiratoryDepartment,NavyAnqingHospital,Anqing,China.
AbstractObjectiveToexploretheclinicaleffectofusingmini-invasivechestcathetercloseddrainageintreatingtuberculouspleurisy.MethodsToselect82tuberculouspleurisypatients,42patientswasusedmini-invasivechestcathetercloseddrainageand40patientswasusedtraditionalpleuracentesis.ResultsThedaysoffluidabsorption,thedoingwellimprovingandthehospitaldayswerebetterintheindwellingcathetergroupsthaninthepuncturinggroups(P0.05).Theincidenceofpleuralthickeningwasreducedintheindwellingcathetergroupsthaninthepuncturinggroups(P0.05).The治疗白癜风的正规医院最好的白癜风医院
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