| 摘要: |
| ［摘要］ 目的 分析深静脉导管引流治疗烧伤后胸腔积液的疗效及安全性。方法 对2010-01～2018-12期间收治27例烧伤并发胸腔积液行静脉导管引流的患者进行回顾性分析，对中到大量胸腔积液患者进行胸腔穿刺留置静脉导管以持续引流胸腔积液，观察其每日引流量、留管时间、治疗效果及并发症。结果 27例患者共穿刺置管47次，其中有19例需两侧同时穿刺置管，有1例因管道堵塞需增加1次置管，单侧引流置管8例。置管后患者症状缓解，心率、呼吸减慢，胸闷及呼吸困难等症状逐渐改善。胸腔积液化验均为漏出液，积液为淡红色或淡黄色，透明、不凝固，每日引流量为80～960（373.42±125.76）ml。引流时间为3～12（7.84±2.03）d。所有患者经引流后胸腔积液明显减少或完全吸收，无一例发生脓胸，导管尖端培养1例阳性，1例患者因多器官功能衰竭死亡。结论 深静脉导管在烧伤后胸腔积液引流中疗效确切，安全可靠，损伤小，可以推广使用。 |
| 关键词: 烧伤 心力衰竭 胸腔积液 低蛋白血症 深静脉导管 |
| DOI：10.3969/j.issn.1674-3806.2020.07.16 |
| 分类号:R 561.3 |
| 基金项目: |
|
| Efficacy and safety of deep-venous catheter drainage in treatment of pleural effusion after burns |
|
NIU Zhan-guo, WAN Li, CHEN Xiao-wu, et al.
|
|
Department of Burns and Plastic Surgery, Dongguan People′s Hospital, Guangdong 523059, China
|
| Abstract: |
| ［Abstract］ Objective To investigate the efficacy and safety of deep-venous catheter drainage in treatment of pleural effusion after burns. Methods From January 2010 to December 2018, 27 burned patients complicated with pleural effusion who underwent deep-venous catheter drainage were retrospectively analyzed. Continuous drainage of pleural effusion by pleural puncture and indwelling venous catheter was performed on the patients with moderate to large amount of pleural effusion. The daily discharge, the time of indwelling venous catheter, the therapeutic effect and complications were observed. Results A total of 47 times of puncture and catheterization were performed on 27 patients among whom 19 cases needed catheterization in bilateral chest wall while 8 cases needed unilateral drainage, and one case needed one more catheterization because of blockage of the catheter. After the catheterization, the symptoms of the patients were relieved, and their heart rate and breathing slowed down, and their chest tightness and dyspnea were gradually improved. The pleural effusion tests showed that all of the pleural effusion was transudate. The pleural effusion was pale red or yellowish, transparent and non-coagulable. The daily discharge was 80～960 ml, with an average of (373.42±125.76)ml. The drainage time ranged from 3 to 12 days, with an average of (7.84±2.03)days. After drainage, the pleural effusion was significantly reduced or completely absorbed in all the cases. No empyema occurred. One case was positive in catheter tip culture, and one case died of multiple organ failure. Conclusion Deep-venous catheter is safe and reliable in the drainage of pleural effusion secondary to burns, with less damage and definite curative effect, and can be widely used in burned patients. |
| Key words: Burns Heart failure Pleural effusion Hypoproteinemia Deep-venous catheter |
