内置引流管加尿激酶治疗结核性包裹性胸腔积液

目的：探讨胸腔内留置深静脉管并注入尿激酶对结核性包裹性胸腔积液的治疗作用。方法：抗结核治疗下，常规胸腔内留置深静脉管引流胸水，治疗组胸腔内注入尿激酶25万u 地塞米松10mg 生理盐水10ml／次，对照组胸腔内只注入地塞米松10mg 生理盐水10ml／次。结果：尿激酶组总引流量明显优于对照组．遗留胸膜肥厚明显少于对照组，且无并发症发生。结论：内置引流管加尿激酶治疗结核性包裹性胸腔积液的方法方便、安全，疗效满意，值得在临床上推广应用。

The treatment of parcel tuberculous pleural effusion by using drain and intrapleral urokinase

Objective To explore therapeutic effects of parcel tuberculous pleural effusion by using drain and intrapleural urokinase.Methods The drainage of intravenous guttate was used. The therapy group used UK 250000u plus DXM 10mg plus NS 10ml/time. The control group used DXM 10mg plus NS 10ml/time in the thoracic cavity. Regular antituberculosis and prednisone treatment was used for all patients. Results The therapy group had less pleural incrassation than the control group, but had more drainage quantity than the control group. Neither had the complications.Conclusion Using drainage in the method of intravenous guttate and intrapleral urokinase on the treatment of parcel tuberculous pleural effusion is a convenient and safe method. It should be recommended for a wider use.