目的:观察中心静脉导管胸腔闭式引流术与传统胸腔穿刺抽液对结核性渗出性胸膜炎临床疗效.方法:将59例结核性胸腔积液患者随机分为两组,治疗组30例应用中心静脉导管行胸腔闭式引流术;对照组29例应用传统胸腔穿刺抽液法,每周两次.观察两组患者发热、气促改善、胸水吸收时间及并发症等情况.结果:中心静脉导管胸腔闭式引流胸腔积液组较常规多次胸腔穿刺抽液组并发症少,胸腔积液消失时间缩短、综合费用减少、住院时间缩短.结论:中心.静脉导管胸腔闭式引流术引流胸腔积液操作简便,安全性高,降低胸膜肥厚的发生.%Objective :To observe clinical effects of central venuous chest-closed drainage technique and traditional chest cavity drainage technique in drawing fluid from tubercular pleurisy patients. Methods : The treatment group of 142 patients used central venuous chest-closed drainage technique and the control group of 140 used traditional chest cavity drainage technique. The treatment period was two-week. The clinical measures of fever, short of breath, fluid-absorbing time and complications. Results: The time of pleural effusion absorption, time of symptom improvement , average days of hospitalization were shorter in experimental group ,and fewer complications were observed in experimental group. Conclusion :It may be feasible and safe to drain a lot of pleural effusion by using central venous catheter. The catheter drainage can reduce the probability of pleura incrassation incidence.
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