摘要
目的探讨中心静脉导管留置引流在治疗结核性心包炎伴有大量心包积液的应用价值。方法将76例结核性渗出性心包炎患者随机分为A组和B组,均予以全身规则抗结核治疗。A组留置中心静脉导管引流及心包腔内注药,B组常规心包穿刺抽液及心包腔内注药。结果A组与B组相比,两组间在消除心包填塞症状时间,退热时间,心包积液消失时间等方面有显著性差异(P< 0．01)。结论心包穿刺留置导管引流心包积液安全可行,操作简便,可迅速消除心包填塞症状,能及时彻底引流心包积液,疗效明显,降低了缩窄性心包炎的发生率。
Objective To study the clinical value of detained central venous catheter in the treatment of tuberculous pericarditis, and to discover a new approach for preventing constrictive pericarditis. Methods Seventy-six initial treatment patients with tuberculous effusive pericarditis were randomly divided into A, B groups, given regular anti-tubereulous therapy. Group A received the treatment of depositing a central venous catheter in pericardial cavity for drainabe therapy and intrapericardial injection. Group B received the treatment of removing fluids from the pericardial cavity with pericardiocentesis intermittently and intrapericardial injection. Results There are significant difference in the appearing. Conclusion It might be and indwelling catheter. The catheter time of the symptom disappearing, defervescence, pericardial effusion disfeasible and safe to drain a lot of hydropericardium by pericardiocentesis drainage might reduce the happening of constrictive pericarditis.
出处
《中国防痨杂志》
CAS
2007年第1期29-30,共2页
Chinese Journal of Antituberculosis
关键词
结核
心包
心包穿刺术
中心静脉留置导管
Pericarditis tuberculous
Pericardiocentesis
Central venous catheterization
