中国当代儿科杂志2013，Vol.15Issue(7)：526-529,4.DOI:10.7499/j.issn.1008-8830.2013.07.006
中心静脉导管持续胸腔闭式引流在儿童结核性胸膜炎中的应用
Application of continuous thoracic close drainage using central venous catheter in the treatment of tuberculous pleurisy in children
金江兵 1宋显相 2周永海 1李昌崇1
作者信息
- 1. 温州医科大学附属第二医院/育英儿童医院儿科,浙江温州325027
- 2. 温州市儿童医院儿科,浙江温州 325027
- 折叠
摘要
Abstract
Objective To study the clinical effect of continuous thoracic close drainage using central venous catheter instead of repeated thoracocentesis in the treatment of tuberculous pleurisy in children.Methods Thirty-nine children with tuberculous pleurisy,who received continuous thoracic close drainage using central venous catheter in addition to conventional antituberculous chemotherapy,were used as the observation group and 42 children with tuberculous pleurisy who underwent repeated thoracocentesis in addition to conventional antituberculous chemotherapy served as the control group.The two groups were compared in terms of time to pleural effusion absorption,improvement in pleural thickening,length of hospital stay,and puncture-related expenses.Results Compared with the control group,the observation group had significantly faster pleural effusion absorption (8 ±4 d vs 12 ±6 d; P ＜0.01),significantly more improvement in pleural thickening (1.50 ± 0.25 mm vs 3.10 ± 0.30 mm; P ＜ 0.05),a significantly shorter length of hospital stay (11 ± 3 d vs 18 ±6 d; P ＜ 0.01),and significantly lower puncture-related expenses (269 ± 24 yuan vs 475 ± 50 yuan; P ＜ 0.05),as well as alleviated pain.Conclusions Continuous thoracic close drainage using central venous catheter is superior to repeated thoracocentesis in the treatment of tuberculous pleurisy in children,and it holds promise for clinical application in pediatric patients.关键词
结核性胸膜炎/胸腔积液/中心静脉导管/儿童Key words
Tuberculous pleurisy/ Pleural effusion/ Central venous catheter/ Child引用本文复制引用
金江兵,宋显相,周永海,李昌崇..中心静脉导管持续胸腔闭式引流在儿童结核性胸膜炎中的应用[J].中国当代儿科杂志,2013,15(7):526-529,4.
