中心静脉导管留置加尿激酶治疗包裹性脓胸
作者简介:张堰冬(1975-),男,四川都江堰人,主治医师,本科。【摘要】目的:观察超声引导下穿刺中心静脉导管留置联合尿激酶治疗包裹性脓胸的新方法并总结其疗效。方法:利用中心静脉套管针,在超声引导下对50例包裹性脓胸患者进行了穿刺排脓治疗。结果:50例患者中,经反复融解抽吸后50例患者均痊愈。平均抽液量为(650±216.8)ml。未再发现胸液增加者50例,占100%。结论:该方法是一种安全有效的包裹性脓性胸腔积液的穿刺排脓方法。
【关键词】脓胸;治疗;中心静脉导管;尿激酶
doi:10.3969/j.issn.1006-1959.2010.08.018文章编号:1006-1959(2010)-08-1996-02
Treatment of encapsulated purulent pleural effusion by using central venous catheter and urokinase injectionZHANG Yan-dong,ZHANG Hua,YUAN Kai
Department of cardiothoracic surgery,the First People's Hospital of Liangshan,Sichuan 615000,China
【Abstract】Objective:To observe the curative effect of treatment of encapsulated purulent pleural effusion by using central venous catheter with ultrasonic guidance and intracvitary urokinase.Methods:Fifty patients with encapsulated empyema were treated with ultrasoundguided drainage by the deep intravenous cannula needle.Results:Fifty patients were cured.The average aspiration volume of pleural fluid is(650±216.8)ml.All fifty cases didn't find pleural fluid increasing again.Conclusion:Using deep intravenous catheter with ultrasonic guidance and adjunctive intracavitary urokinase therapy is a safe and effective method in draining the encapsulated purulent pleural effusion. ......
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