单腔中心静脉导管行胸腔闭式引流治疗大量胸腔积液的疗效分析
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摘要
分析单腔中心静脉导管用于胸腔闭式引流治疗大量胸腔积液的疗效。方法回顾性分析住院诊治的大量胸腔积液患者126例临床资料,其中接受传统的胸腔闭式引流术治疗患者48例(粗管组),接受单腔中心静脉导管治疗患者78例(细管组);比较2组患者的疗效、并发症等情况。结果细管组胸腔积液的治愈率(96.15%)和粗管组(95.83%)差异无统计学意义(χ~2=0.000,P=1.000);细管组并发症发生率(2.56%)明显低于粗管组(16.67%),差异具有统计学意义(χ~2=6.273,P=0.012)。结论应用单腔中心静脉导管行胸腔闭式引流治疗大量胸腔积液疗效确定,操作简单、方便。
引文
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[2]Goff BA,Mueller PR,Muntz HG,et al.Small chest-tube drainage followed by bleomycin sclerosis for malignant pleural effusions[J].Obstet Gynecol,1993,81(6):993-996.
[3]Hallifax RJ,Psallidas I,Rahman NM.Chest drain size:the debate continues[J].Current Pulmonology Reports,2017,6(1):26-29.
[4]姜维,杨志雄,陈牟珠,等.深静脉导管胸腔内留置引流治疗胸腔积液110例临床分析[J].岭南急诊医学杂志,2008,13(1):54-55.
[5]刘美莲.深静脉留置管应用在气胸病人胸腔闭式引流中的观察[J].广西医学,2006,28(3):380-381.
[6]厉银平,彭清臻,钟敏华,等.经深静脉留置管胸腔内注入尿激酶治疗包裹性胸腔积液的临床观察[J].临床肺科杂志,2011,16(1):126-127.
[7]Hooper CE,Welham SA,Maskell NA.Pleural procedures and patient safety:a national BTS audit of practice[J].Thorax,2015,70(2):189-191.
[8]翟秀梅,翟超楠,周海存.深静脉导管胸腔留置治疗大量胸腔积液临床观察[J].中国医药指南,2010,8(35):89-90.