经皮穿刺置入中心静脉导管治疗肝脓肿34例临床分析

目的探讨单腔中心静脉导管在经皮穿刺治疗肝脓肿中的临床应用价值。方法回顾性分析我科采用单腔中心静脉导管经皮穿刺治疗的34例肝脓肿患者的临床资料。结果 34例肝脓肿患者均一次穿刺成功,2例脓肿破溃者联合膈下穿刺置管引流,34例患者均在穿刺24-48h后腹痛症状明显减轻,发热症状消失,引流7-21d脓腔消失后拔管,34例患者均治愈。结论超声引导下经皮穿刺置入单腔中心静脉导管引流治疗肝脓肿疗效确切,并发症少,创伤小,痛苦轻,费用低,并且能在床边操作,值得临床推广和应用。

The clinical analysis of 34 cases applying single lumen central venous catheter in percutaneous puncture in treatment of liver abscess

Objective To investigate the clinical application value of single lumen central venous catheter in percutaneous puncture in treatment of liver abscess. Methods The clinical data of 34 cases liver abscess applied single lumen central venous catheter after percutaneous were retrospectively analyzed. Results 34 cases of liver abscess all successfully punctured,2 cases of abscess rupture combined with infradiaphragmatic drainage,the 34 patients＇ abdominal pain symptoms significantly relieved after puncturing 24-48 hours,the fever symptoms disappeared,and the tube drawed after drainage pipe disappeared 7-21 days,34 cases were all cured. Conclusion The effect of single lumen central venous catheter in percutaneous puncture in treatment of liver abscess is effective,has fewer complications,less trauma and pain,and low cost,and can operate bedside the bed,and it is worth of the clinical promotion and application.