内置引流管加尿激酶治疗结核性包裹性胸腔积液60例临床分析

目的:探讨胸腔内留置深静脉管并注入尿激酶对结核性、包裹性胸腔积液的治疗作用.方法:抗结核治疗下,常规胸腔内留置深静脉管引流胸水,治疗组胸腔内注入尿激酶10万单位+生理盐水10 ml/次,对照组胸腔内只注入生理盐水10ml/次.结果:治疗组总引流量明显优于对照组,遗留胸膜肥厚明显少于对照组,且无并发症发生.结论:内置引流管加尿激酶治疗结核性、包裹性胸腔积液的方法方便,安全,疗效满意,值得在临床上推广应用.

Clinical Analysis of 60 Cases with the Treatment of Parcel Tuberculous Pleural Effusion by Using Drain and Intrapleral Urokinase

Objective:To explore therapeutic effects of parcel tuberculous pleural effusion by using drain and intrapleural urokinase.Methods:The drainage of intravenous guttate was used.The therapy group used UK 100000u plus NS 10 ml/time.The control group used NS 10 ml/time in the thoracic cavity.Regular antituberculosis and prednisone treatment was used for all patients.Results:The therapy group had less pleural incrassation than the control group,but had more drainage quantity than the control group.Neither had the complications.Conclusion:Using drainage in the method of intravenous guttate and intrapleral urokinase on the treatment of parcel tuberculous pleural effusion is a convenient and safe method.It should be recommended for a wider use.