Treatment of complicated parapenumonic pleural effusion by ultrasound-guided thoracic puncture to indwell pigtail catheter
10.3760/cma.j.issn.1004-4477.2011.01.004
- VernacularTitle:超声引导胸腔穿刺留置猪尾导管治疗复杂性肺炎旁胸腔积液
- Author:
Min SONG
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Pleural effusion;
Cateters,indwelling
- From:
Chinese Journal of Ultrasonography
2011;20(1):14-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the value of ultrasound-guided thoracic puncture to indwell pigtail catheter for treating the complicated parapneumonic pleural effusion. Methods One hundred and sixteen patients,clinically diagnosed the complicated parapneumonic pleural effusion,were randomly divided into the treatment group(58 cases) and the control group(58 cases). In the treatment group, patients were treated by ultrasound-guided thoracic puncture to indwell pigtail catheter. In the control group, patients were treated by conventional closed thoracic drainage. At the same time, systemic supportive therapy and antibiotics were given to all patients of two groups. The time of defervescence,the time of pleural effusion absorbed,days in hospital,the thickness of the pleura after treatment, indices of pulmonary function and the visual analogue scales after indwelling catheter were observed. Results In the time of defervescence, the time of pleural effusion absorbed ,days in hospital, the thickness of the pleura after treatment, indices of pulmonary function and the visual analogue scales after indwelling catheter,the differences between two groups were significant (P ＜ 0. 05). Conclusions For complicated parapneumonic pleural effusion, the method by ultrasoundguided thoracic puncture to indwell pigtail catheter is obviously superior to the traditional method.
