| 摘要: |
| ［摘要］ 目的 探讨单腔中心静脉导管经皮穿刺留置冲洗治疗肺脓肿的效果。方法 对26例肺脓肿患者采用单腔中心静脉导管经皮穿刺置入肺脓腔,脓液行细菌培养,根据药敏选择抗生素,同时应用0.5%甲硝唑溶液或敏感抗生素稀释液反复冲洗脓腔,直到脓液极少且清亮,脓腔闭合,可拔出引流管。结果 26例患者经15～46 d治愈出院,无并发症发生。结论 单腔中心静脉导管经皮穿刺留置冲洗治疗肺脓肿安全可靠,值得在临床上推广应用。 |
| 关键词: 肺脓肿 单腔中心静脉导管 留置 灌洗 |
| DOI：10.3969/j.issn.1674-3806.2013.05.19 |
| 分类号:R 56 |
| 基金项目: |
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| Percutaneous drainage and pus cavity lavage by placing an indwelling single cavity central venous catheter on lung abscesses:clinical analysis of 26 cases |
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LIANG Zhi-qiang, LUO Zhao-gan, GAN Yuan, et al.
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Department of Respiratory Diseases, No.2 People’s Hospital of Guigang City, Guangxi 537132, China
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| Abstract: |
| ［Abstract］ Objective To observe the therapeutic effects of percutaneous drainage and the pus cavity lavage repeated by placing an indwelling single cavity central venous catheter on pulmonary abscess.Methods Twenty-six patients with pulmonary abscess were secleted. In these patients, a single cavity central venous catheters was inserted into the pus cavity through percutaneous puncture and after that, pus germicultures and drug sensitivity tests were performed as well as according to the results of drug sensitive test， 0.5% metronidazole or other antibiotics were applied to wash the pus cavity repeatedly.The catheters were pulled out until the sanies became few and clear and the pus cavity closed.Results Twenty-four patients were cured between 15 and 46 days of treatment and no complications were found.Conclusion It is safe and effective to treat pulmonary abscess with single cavity central venous catheters and it is worthy of clinical practice. |
| Key words: Lung abscess Single cavity central venous catheter Indwelling Lavage |
