Title: Clinical Curative Effect of Closed Thoracic Drainage Using Central Venous Catheter Combined with Intrapleural Injection in Treatment of Tuberculous Pleural Effusion
Abstract: Objective To investigate the clinical efficacy of closed thoracic drainage using central venous catheter combined with intracavitary injection in the treatment of tuberculous pleural effusion.Methods 98 patients tuberculous pleurisy admitted to our hospital between January 2014 and January 2015 were selected as the research object and randomly divided into control group and treatment group.Patients in the control group took routine thoracic puncture,once every other day,while those in the treatment group were treated with closed thoracic drainage using central venous catheter and intracavitary injection of urokinase 200000 U and saline 50 ml.Indicatoers including pleural fluid drainage capacity,pleural fluid absorption time,pleural thickening degree were recorded and compared.Results Pleural fluid drainage capacity of the treatment group was(1488± 237) mL,and that of the control group was(1032±241) mL,(t=17.355,P0.015);pleural fluid absorption time of the treatment group was(15.7±2.5) d,and that of the control group was(24.1±3.5) d,(t=4.165,P=0.021);bloody pleural effusion incidence of the treatment group was 2.04%,and that of the control group was 8.16%,(x~2=2.024,P=0.018);the differences were statistically significant;the rate of pleural thickening of the treatment group was 4.08%,and that of the control group was 12.24%,(x~2=2.271,P=0.134);the rate of pleura reaction of the treatment group was 2.04%,and that of the control group was 8.16%,(x~2=2.024,P=0.181),and the difference was not statistically significant.Conclusion Using thoracic closed drainage of the central vein catheter combined with intracavitary injection in the treatment oftuberculous pleural effusion has good curative effect,pleural effusion andpleural effusion drainage volume larger absorption time faster,low incidence of complications,clinical value.
Publication Year: 2015
Publication Date: 2015-01-01
Language: en
Type: article
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