结核性胸腔积液三种不同治疗方式近期疗效观察

目的　探讨结核性渗出性胸腔积液治疗方式。方法 123例中等量以上积液的结核性胸膜炎病人作为研究对象。患者按入院先后顺序随机分为3组。A组42例,胸腔置管引流并胸腔内注射微卡(母牛分枝杆菌菌苗);B组45例,单纯置管引流;C组36例,常规胸腔穿刺抽液每周1～2次。3组患者的化疗方案均为2HRZE(S)/4HR。C组口服强的松30mg/d。治疗1个月检查。结果 1个月A组胸液控制率95.3%,显效36例(85.7%),有效4例(9.6%),无效2例(4.7%),6个月总有效率100%;B组胸液控制率91.1%,显效36例(80%),有效5例(11.1%),无效4例(8.9%),6个月总有效率100%;C组胸液控制率66.6%,显效3例(8.3%),有效21例(58.3%),无效12例(33.3%),6个月总有效率83.3%。结论 深静脉导管引流胸腔积液,注药与不注药无显著性差异,但明显优于常规胸穿抽液。

Study on the three different treatment means of tuberculosis pleurisy

Objective To probe the treatment means of tuberculosis pleural effusion.Method 123 received creating cases of tuberculosis pleurisy were divided into group A,B,and C at random,group A:42 cases put drainage in the thorax and inject Vaccae in it,group B: 45cases put drainage in the thorax only,group C:36cases,carry aspiration for pleural effusion one or two times of a week.Three groups all use 2HRZE/4HR,and group C use Pedisorn 30?mg/d.Results After one month treating,the group A controlling rate is 95.3%,36(85.7%)have remarkable result,4(9.6%) have effective result,2(4.7%) have no effective,have effective result 100% after 6 months;The group B,controlling rate is 91.1%,36(80%)have remarkable result,5(11.1%) have effective result,4(8.9%) have no effective,have effective result 100% after 6 months;Group C: controlling rate is 66.6%,3(8.3%)have remarkable result,21(58.3%)have effective result,12(33.3%) have no effective,have effective result 83.3% after 6 months.Conclusion There have no remarkable difference of inject drug or no when put drainage in the thorax.