引用本文:王朝鸿,周 丹,樊 梅,羊亚萍,潘龙杰.微创穿刺引流并注射尿激酶治疗包裹性脓胸34例临床观察[J].中国临床新医学,2015,8(3):244-246.
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微创穿刺引流并注射尿激酶治疗包裹性脓胸34例临床观察
王朝鸿,周 丹,樊 梅,羊亚萍,潘龙杰
661699 云南,开远市红河州第四人民医院呼吸内科
摘要:
[摘要] 目的 探讨微创穿刺引流并注射尿激酶治疗包裹性脓胸的疗效。方法 34例包裹性脓胸患者全部采用微创穿刺置入中心静脉导管闭式引流,并行胸腔内注入尿激酶治疗。结果 治愈19例,好转15例,总有效率为100.0%。置管时间16~26 d,平均20.56 d。结论 微创穿刺引流并注射尿激酶治疗包裹性脓胸操作简便、安全有效,引流管管径粗细并非影响疗效的主要因素。
关键词:  微创  包裹性脓胸  尿激酶  中心静脉导管
DOI:10.3969/j.issn.1674-3806.2015.03.16
分类号:R 56
基金项目:
Clinical observation on the treatment of 34 patients with encapsulated empyema by mini-invasive puncture drainage combined with intraplearal injection of urokinase
WANG Chao-hong, ZHOU Dan, FAN Mei, et al.
Department of Respiratory Diseases, the Fourth People′s Hospital of Honghe, Yunnan 661699, China
Abstract:
[Abstract] Objective To explore the efficacy of mini-invasive puncture drainage combined with intraplearal injection of urokinase(UK) in the treatment of encapsulated empyema.Methods Thirty-four patients with encapsulated empyema received mini-invasive puncture closed drainage by inserting central catheters, and intraplearal injection of UK.Results Nineteen cases were cured, 15 cases improved, the total effective rate was 100.0%. The time of indwelling catheter was 16~26(average 20.56)days.Conclusion Mini-invasive puncture drainage combined with intraplearal injection of UK in the treatment of encapsulated empyema is simple, safe and effective, drainage tube diameter is not the main factor influencing the curative efficacy.
Key words:  Mini-invasive puncture  Encapsulated empyema  Urokinase(UK)  Central venous catheter