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目的探讨胸腔积液的临床治疗。方法选取2012年2月至2013年2月我院收治的胸腔积液患者86例,随机分为两组,观察组患者应用胸腔积液的中心静脉导管引流方法进行治疗;对照组患者应用传统的胸穿抽液治疗,比较两组患者的治疗总有效率、治疗后胸腔积液消失时间及遗留的胸膜厚度变化。结果观察组患者经治疗后的临床总有效率为95.3%,明显高于对照组的51.2%,两组比较,差异有统计学意义(P<0.05);观察组患者治疗后的胸腔积液消失时间短于对照组,观察组患者治疗后遗留的胸膜增厚薄于对照组,两组比较差异均有统计学意义(均P<0.05)。结论胸腔积液的临床治疗中应用中心静脉导管引流的方法,操作简便安全,且治疗效果明显,使胸腔积液消失快、胸膜增厚粘连的后遗症减少。
Objective To investigate the clinical treatment of pleural effusion. Methods Twenty-six patients with pleural effusion admitted to our hospital from February 2012 to February 2013 were randomly divided into two groups. Patients in the observation group were treated with central venous catheter drainage of pleural effusion. Patients in the control group were treated with traditional Thoracic suction fluid treatment, the two groups were compared the total effective rate of treatment, disappearance of pleural effusion after treatment and the remaining changes in the thickness of the pleura. Results The total effective rate of the observation group was 95.3% after treatment, which was significantly higher than that of the control group (51.2%). There was a significant difference between the two groups (P <0.05); after the treatment group, the pleural effusion disappeared Time was shorter than that of the control group. The pleural thickening left behind in the observation group was thinner than that in the control group. There was significant difference between the two groups (all P <0.05). Conclusions In the clinical treatment of pleural effusion, the method of central venous catheter drainage is applied. The operation is simple and safe, and the treatment effect is obvious. The effusion of pleural effusion disappears rapidly, and the sequelae of pleural thickening and adhesions decrease.