摘要
目的探讨彩色多普勒超声引导下经皮穿刺留置中心静脉导管引流并反复抗生素冲洗治疗老年肺脓肿的治疗方法和临床应用价值。方法对58例老年肺脓肿患者进行了彩色多普勒超声引导经皮穿刺留置中心静脉导管引流并反复抗生素冲洗法治疗。结果所有患者均一次性穿刺成功,成功率100%,术后使用氯化钠和抗生素稀释后反复抽洗脓腔,直至脓液相对减小或闭合时,拔出引流导管,随访0.5～3年,56个肺脓肿治愈,治愈率96.6%,均未出现出血与气胸等并发症。结论彩色多普勒超声引导下经皮穿刺留置中心静脉导管引流并反复抗生素冲洗治疗老年肺脓肿,成功率和治愈率高,并发症少。
Objective To investigate the treatment method and clinical value of the treatment of lung abscess by color doppler ultrasound guided percutaneous puncture catheterization drainage and washing with antibiotics in elderly patients.Methods Fifty-eight elderly patients with lung abscesses were treated by color doppler ultrasound guided percutaneous puncture catheterization drainage and washing with antibiotics treatment.Results All patients had one time successive puncturation,and the success rate was 100%.All patients were put central venous catheter.Physiological saline and antibiotics diluent were applied to wash the abscess repeatedly through the central venous catheter.The catheter was pulled out unitil the lung abscess became few or closed.Followed-up for 1 to 3 months,56 cases of lung abscesses were disappeared,the cure rate was 96.6%.Conclusion Treatment of lung abscess by color doppler ultrasound guided percutaneous puncture catheterization drainage and washing with antibiotics has a high success rate and cure rate for elderly patients with lung abscess,and has fewer complications.
出处
《临床医学》
CAS
2013年第9期27-28,共2页
Clinical Medicine
关键词
肺脓肿
彩色多普勒超声
中心静脉导管
抗生素
穿刺术
Lung abscess
Color doppler ultrasound
Central venous catheter
Antibiotics
Puncture
