双腔中心静脉导管经皮穿刺置入治疗老年肺脓肿的临床疗效和安全性

发布时间：2018-05-20 09:36

  本文选题：双腔中心静脉导管 + 肺脓肿　； 参考：《中国老年学杂志》2014年16期

【摘要】：目的探讨双腔中心静脉导管经皮穿刺置入治疗老年肺脓肿的临床疗效和安全性。方法选取该院呼吸科收治的42例老年肺脓肿患者,按照随机数字表法分为观察组和对照组各21例。两组患者均给予常规的治疗方案,对照组在常规治疗方案的基础上加用纤维支气管镜脓肿腔灌洗治疗;观察组加用双腔中心静脉导管经皮穿刺置入,并对脓肿腔进行反复冲洗、抽吸清除脓液。对比两组患者临床疗效、住院天数、发热天数以及并发症的发生情况。结果观察组第3周痊愈率和显效率分别为52.38%和80.95%,出院时(≥第4周)的痊愈率和显效率分别为95.24%和95.24%,均显著高于对照组(19.05%和42.86%,52.38%和61.90%)(P0.05)。观察组并发症的发生率为19.05%(4/21),对照组为33.33%(7/21),两组比较没有统计学差异(P0.05)。观察组患者的发热(37.5℃)天数和住院天数均显著低于对照组(P0.05)。结论双腔中心静脉导管经皮穿刺置入治疗老年肺脓肿具有良好的临床疗效,且安全性高,能够显著缩短患者的住院天数,值得在临床推广。
[Abstract]:Objective to evaluate the clinical efficacy and safety of percutaneous transluminal double cava catheter placement in elderly patients with pulmonary abscess. Methods 42 elderly patients with pulmonary abscess were randomly divided into two groups: observation group (n = 21) and control group (n = 21). Two groups of patients were given routine treatment, the control group was treated with bronchofiberscope abscess cavity lavage on the basis of routine treatment, the observation group was treated with double-cava central venous catheter percutaneous puncture, and the abscess cavity was washed repeatedly. Suction to remove pus. The clinical efficacy, hospitalization days, fever days and complications were compared between the two groups. Results in the observation group, the cure and effective rates were 52.38% and 80.95% at the 3rd week, and 95.24% respectively at the time of discharge (鈮，

本文编号：1914102