中心静脉导管引流在急性胰腺炎相关胸腔积液的临床应用

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英文篇名：Clinical application of the central venous catheter specialized for drainage of pleural effusion due to acute pancreatitis 作者：朱陈 ; 周国平 英文作者：ZHU Chen;ZHOU Guo-pin;Department of General Surgery, Gaochun Hospital Affiliated to Yangzhou University; 关键词：胰腺炎 ; 胸腔积液 ; 中心静脉导管 ; 全身炎症反应综合征 英文关键词：Pancreatitis;;Pleural effusion;;Central venous catheter;;Systemic inflammatory response syndrome 中文刊名：ZGYJ 英文刊名：Chinese Medical Journal of Metallurgical Industry 机构：扬州大学附属高淳医院普通外科;扬州大学附属高淳医院危重症医学科; 出版日期：2019-08-07 出版单位：中国冶金工业医学杂志 年：2019 期：v.36 语种：中文; 页：ZGYJ201904006 页数：2 CN：04 ISSN：21-1340/R 分类号：13-14

摘要

目的探讨中心静脉置管引流在胰腺炎相关胸腔积液中的临床应用。方法回顾性分析我院2014年1月至2017年1月收治的胰腺炎合并胸腔积液37例患者,经中心静脉导管置管引流治疗的临床资料,观察中心静脉导管胸腔穿刺引流对胰腺炎相关胸腔积液的疗效,以及比较胸腔积液行中心静脉置管引流前和引流后2天,白细胞、C-反应蛋白(CRP)、APACHE II评分、脉氧的变化。结果所有患者均成功实施,未出现相关操作并发症,术后可以有效引流胰腺炎相关胸腔积液。白细胞、CRP、APACHE II评分、脉氧引流前后有明显改善,差异具有统计学意义(P<0.05)。结论中心静脉导管引流术是一种安全、有效、微创治疗胰腺炎相关胸腔积液的方法,对胰腺炎的治疗有积极意义。
        Objective To discuss the clinical application of the central venous catheter specialized for drainage of pleural effusion due to acute pancreatitis. Methods A retrospective analysis was used to investigate the clinical data of 37 patients with pleural effusion due to acute pancreatitis after central venous catheter drainage treatment from January 2014 to January 2017 in our hospital. The curative effect, and compare the white blood cells, C-response protein, APACHE II score and hemoglobin oxygen saturation between before drainage and after 2 days drainage were observed.Results All patients with drainage got central venous catheter successfully inserted without operation complications. The level of the white blood cells,C-response protein, APACHE II score and hemoglobin oxygen saturation were significantly improved after the drainage in patients, and the difference was significant(P<0.05). Conclusion The central venous catheter drainage is a safe, effective and minimal invasive treatment of pleural effusion due to acute pancreatitis, which is helpful of acute pancreatitis.

引文

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