置留式改良的中心静脉导管负压引流系统在治疗恶性胸腔积液中的应用

目的 探讨改良的中心静脉导管引流系统在恶性胸腔积液中应用的疗效和安全性。方法2001年6月至2004年2月收治的经胸水细胞学确诊的35例恶性胸腔积液患者，应用改良的中心静脉引流装置，进行引流并注入药物，观察疗效和并发症。结果 其中CR13例，PR20例，NC2例，有效率为94．3％，并发症主要为管腔堵塞。结论置留式改良的中心静脉导管装置在恶性胸腔积液中的应用是一种微创、方便、安全、有效的方法，并发症少且患者容易接受。

Application of improved central venous catheter drainage system in malignant pleural effusion

Objective To observe effect and reliability of application of improved central venous catheter drainage system in malignant pleural effusion. Methods Thirty five cases cytologically confirmed malignant pleural effusion were inserted catheter drainage systems in their chest walls and drained pleural effusion and injected drugs to treat pleural effusion. Effect and complications were observed. Results Among 35 cases received this treatment, complete remission(CR)13 cases, partial remission(PR)20 cases and no change(NC) 2 cases, the response rate was 94.3%. The main side effect was catheter blockage. Conclusion The improved central venous catheter drainage system was a micro-trauma, convenient, safe effective way, has low complications and was acceptable.