中心静脉导管引流胸腔积液210例临床分析

目的：比较两种胸腔积液引流方法的效果。方法：统计210例（A组）使用中心静脉导管引流胸腔积液患者的引流胸水量、胸水消失天数、胸水完全吸收率,并与182例（B组）使用传统抽液引流胸腔积液患者进行对比研究。结果：平均胸水量A组（4682±1235）mL,B组（2470±1040）mL;胸水消失天数：A组（6.5±2.6）d,B组（23.6±9.3）d;胸水完全吸收率：A组73.8%,B组25.8%,两组各指标均具有显著性差异（P〈0.01）。结论：中心静脉导管引流胸腔积液较传统穿刺方法安全有效。

Clinical Analysis on Thoracic Drainage Using Central Venous Catheter in 210 Patients with Pleural Effusion

Objective：To validate the efficacy of thoracic drainage with central venous catheter in treatment of pleural effusion.Methods：Clinical data including the volume,the duration and the full absorption rate of pleural effusion from 210 patients（group A）undergoing thoracic drainage using central venous catheter were retrospectively analyzed and and compared with 182 patients（group B） using traditional extraction to drainage.Results：The average volume of pleural effusion was（4682±1235）ml in group A,and（2470±1040）ml in group B;the duration of pleural effusion in group A and B was（6.5±2.6）d and（23.6±9.3）d respectively;the full absorption rate was 73.8%（group A） and 25.8%（group B）.They were significantly different（P 〈0.01）.Conclusion：The method of thoracic drainage using central venous catheter was safer and more effective than the traditional measure.