摘要
目的 探讨穿刺抽液并注入尿激酶治疗结核性胸腔积液的临床价值。方法 对30例结核性胸腔积液（多房性14例，包裹性6例，脓胸10例）患者，经穿刺抽液后并注入生理盐水50ml稀释的尿激酶12．5万IU。24h后抽尽液体，如仍有分隔或积液重复上述治疗。结果 30例患者共穿刺了85次，成功率92．5％，3例并发气胸，1例并发血气胸。24例患者仅经1次尿激酶治疗后有效，总有效率96％。1例无效。注入尿激酶之后第1次抽液量较用药前明显增多（P〈0．05）。而第2～4次用药后抽液量增多不明显（P〉0．05）。结论 穿刺抽液并注入尿激酶是治疗结核性胸腔积液的一种安全、有效的方法，使绝大多数患者避免了外科手术。
Objective To study the value of treatment of benign complicated pleural effusion with ultra and intraeavitary urokinase. Methods Thirty patients with tuberculo sispleural effusion were treated with and after that with in trapleural injection of 125 000 IU and then after 24 hours,the drainage was repeated. The procedure was repeated until there were no setal and pleural fluid collection. Results Thirty patients ultra eighty - five times. Conclusions ad- junctive pleural urokinase therapy is a safe and effective method in draining the multi loculated pleural effusion, and surgery may be avoided.
出处
《医学信息（手术学分册）》
2007年第3期236-237,共2页
Medical Information Operations Sciences Fascicule
关键词
结核
穿刺
尿激酶
胸腔积液
tuberculous
troracentesis
urokinase
pleural effusion
