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目的:探讨用中心静脉导管内置术治疗胸腔积液在基层医院的实用性、有效性、安全性。方法:回顾性分析2004年1月至2012年1月收治的100例经B超及X线确诊的中等量以上及包裹性胸腔积液患者的临床资料。结果:100例胸腔积液患者均1次置管成功,并彻底引流,其中7例因官腔堵塞或包裹重新置管,1例发生轻微气胸,5例有轻微胸膜反应,经吸氧、镇静和休息缓解。结论:中心静脉导管内置术治疗胸腔积液安全性高、损伤小,操作简单。
Objective: To investigate the practicability, effectiveness and safety of using central venous catheter in the treatment of pleural effusion in primary hospitals. Methods: The clinical data of 100 patients diagnosed by B-mode ultrasonography and X-ray of moderate volume and pleural effusion admitted from January 2004 to January 2012 were retrospectively analyzed. Results: All the 100 cases of pleural effusion were successfully perfused and drained completely. Among them, 7 cases were closed due to the blockage of the bureaucratic cavity or re-catheterization. One case had mild pneumothorax and 5 cases had slight pleural reaction. After oxygenation, sedation and Rest ease. CONCLUSION: Central venous catheterization is safe, less invasive and simple to treat.