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目的:对胸膜疾病临床诊断及治疗进行探讨和分析。方法:选取2011年1月至2012年12月期间,我院收治的120例胸膜疾病患者,其中90例为男性,30例为女性,年龄为18-78岁,平均年龄为(49.1±2.9)岁。患者病程在1至18周之间。8例患者术前开胸抽液呈脓性浑浊,18例为黄色,26例为血性。上述患者中,68例为自发性气胸,其中16例为继发性气胸,52例为特发性气胸,18例为复发性气胸,复发次数在2-7次之间。36例患者于开胸手术之前已接受了胸腔引流。52例患者为胸腔积液,且都是单侧胸腔存在大量或中等量的积液。随机将上述患者分为两组,每组各60例,并对其临床资料进行了回顾性分析。结果:两组患者的诊断准确率都是100%,没有显著差异(P>0.05)。观察组的总有效率为70%,对照组的总有效率为93.33%,两组差异显著(P<0.05)。结论:常规性检查和联合CT检查都可以有效地进行诊断,且诊断准确率较高。在治疗中,使用常规性药物治疗联合中药治疗,可以得到理想的临床效果,可大大提升患者的临床治疗效果,降低创伤,缩短患者的恢复时间,具有较高的经济性和临床使用价值,值得进一步推广应用。
Objective: To discuss and analyze the clinical diagnosis and treatment of pleural disease. Methods: From January 2011 to December 2012, 120 cases of pleural disease admitted to our hospital were selected. Among them, 90 were male and 30 were female, with a mean age of (49.1 ± 2.9) years and 18-78 years old. year old. The course of the patient is between 1 and 18 weeks. Eight patients had preoperative thoracic fluid was purulent cloudy, 18 cases were yellow, 26 cases of bloody. Among these patients, 68 were spontaneous pneumothorax, of which 16 were secondary to pneumothorax, 52 were idiopathic pneumothorax, 18 were recurrent pneumothorax with recurrences ranging from 2 to 7 times. Thirty-six patients underwent thoracic drainage prior to thoracotomy. Fifty-two patients had pleural effusions and both had massive or moderate effusion on the unilateral chest. The above patients were randomly divided into two groups, 60 cases in each group, and its clinical data were retrospectively analyzed. Results: The diagnostic accuracy of both groups was 100%, with no significant difference (P> 0.05). The total effective rate was 70% in the observation group and 93.33% in the control group, with significant difference between the two groups (P <0.05). Conclusion: Both routine examination and combined CT examination can be effectively diagnosed, and the diagnosis accuracy is high. In the treatment, the use of conventional drug therapy combined with traditional Chinese medicine treatment, can get the desired clinical results, which can greatly enhance the clinical treatment of patients, reduce trauma and shorten the recovery time of patients, with high economic and clinical value, it is worth Further promote the application.