| 摘要: |
| ［摘要］ 目的 观察采用单腔中心静脉导管经皮穿刺留置冲洗脓腔经支气管镜吸引治疗肺脓肿的效果。方法 对20例肺脓肿与支气管相通的患者采用单腔中心静脉导管经皮穿刺置入脓腔,抽出脓液行细菌培养,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,冲洗脓腔时用支气管镜经病变肺叶支气管吸引流出冲洗液，直至冲洗液清亮,脓腔闭合,可拔出引流管。结果 20例患者15～25 d治愈出院,无并发症出现。结论 单腔中心静脉导管经皮穿刺留置冲洗脓腔经支气管镜吸引治疗与支气管相通的肺脓肿安全可靠、疗效好，值得临床推广应用。 |
| 关键词: 肺脓肿 单腔中心静脉导管 留置 支气管镜吸引 |
| DOI：10.3969/j.issn.1674-3806.2014.06.17 |
| 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 and transbronchoscopic aspiration in the treatment of lung abscesses: clinical analysis of 20 cases |
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LIANG Zhi-qiang, LUO Zhao-gan, GAN Yuan, et al.
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Department of Respiratory, 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 and transbronchoscopic aspiration in the treatment of pulmonary abscess.Methods Totally 20 patients with pulmonary abscess were observed. In these patients, a single cavity central venous catheters were inserted into the pus cavity through percutaneous puncture and after that, pus germicultures and drug sensitivity tests were performed as well as 0.5% metronidazole or other antibiotics according to the results of drug sensitive test were applied to wash the pus cavity repeatedly by bronchoscopy.The catheters were pulled out until the washing fluid became clear and the pus cavity closed.Results All patients were cured between 15 and 25 days and no complications were found.Conclusion This way is safe and effective to treat the pulmonary abscess connected bronchi and it should be a more regularly used treatment method in clinic. |
| Key words: Lung abscess Single cavity central venous catheter Indwelling Transbronchoscopic aspiration |
