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目的 应用中心静脉导管对恶性浆膜腔积液的置管 ,探索其在诊断治疗上的价值。方法 通过经皮穿刺置管 ,抽取积液常规检验及细胞学检查 ;间断排净积液后分次注入药物。结果 胸腔、腹腔及心包共穿刺 47针次 ,全部置管一次成功 ,通过积液细胞学检查为 6例患者明确了诊断 ;导管平均留置时间 42天 ,无积液感染及并发症。结论 中心静脉导管在恶性浆膜腔积液中置管及使用均安全方便 ,有良好的推广应用价值。
Objective To evaluate the value of central venous catheter in the treatment of malignant serosal effusion. Methods Percutaneous catheterization, routine examination of effusion and cytological examination; intermittent drainage of net effusion after sub-injection of drugs. Results Thoracic cavity, peritoneal cavity and pericardium were punctured a total of 47 times, and all the tubes were successfully inserted. Six patients diagnosed by effusion cytology were confirmed. The average catheter placement time was 42 days without effusion and complication. Conclusion Central venous catheters in the malignant serous effusion in the tube and the use of safe and convenient, has a good value of popularization and application.