摘要
目的通过46例恶性胸腔积液患者留置中心静脉导管引流,探讨中心静脉导管行胸腔引流的优势及临床护理要点。方法采用回顾性分析的方法,收集该科2013年1月—2014年1月的72例肺癌及乳腺癌患者出现恶性胸腔积液的患者,随机分为治疗组46和对照组各26例,对照组给予行胸腔闭式引流术;治疗组给予行中心静脉导管引流。结果治疗组患者均顺利完成治疗,未发生严重的并发症,治疗组胸腔积液缓解总有效率达80.00%,生活质量KPS评分较高,患者无进展生存期(PFS)和总生存期(OS)明显延长。结论恶性胸腔积液患者留置中心静脉导管引流具有微创的优势,通过临床合理、科学的护理,可明显降低感染几率,值得临床护理的重视。
Objective To explore the advantages of central venous catheter drainage of the chest by fourtysix cases of patients with malignant pleural effusion indwelling central venous catheter and clinical care points.Methods A retrospective analysis was collected in the department from January 2013 to January2014 in 72 cases of breast cancer occur in patients with lung cancer and malignant pleural effusion were randomly divided into the treatment group 46 cases and the control group of 26 cases which were gived closed thoracic drainage.The treatment group received central venous catheter drainage.Results The patients were successfully completed treatment,serious complications had occurred in the treatment group pleural effusion total effective rate 80.00% remission,KPS score higher and quality of life of patients progression-free survival（PFS）and overall survival（OS）significantly prolonged.Conclusions Patients with malignant pleural effusion indwelling central venous catheter with a minimally invasive advantages,through the reasonable clinical nursing science which can significantly reduce the chances of infection and the clinical care is worth attention.
出处
《中国煤炭工业医学杂志》
2016年第2期236-239,共4页
Chinese Journal of Coal Industry Medicine
关键词
恶性胸腔积液
中心静脉导管
闭式引流
护理
Malignant pleural effusion
Central venous catheter
Closed drainage
Nurse
