论文部分内容阅读
本院收治的脓胸患者中,以结核性脓胸较常见.现将近年来收治的25例结核性脓胸在B超引导下穿刺治疗进行分析,以提高对脓胸特别是结核件脓胸的诊治水平.资料与方法本组25例中,经胸水涂片,培养或胸膜病理检查均确诊为结核性或合并混合感染性脓胸.其中男14例.女11例.年龄18～51岁.患者均经抗结核治疗3月以上,多为不规则治疗,胸穿2～5次转为脓胸、病程3月～2年.用恒河ST50型便携式超声仪.探头频率3.5MHz,探查及引导方法略.25例患者均在B超引导下穿刺.根据病情,一般隔日或2～3天穿刺抽脓,冲洗一次.每次脓液抽完后,经生理盐水反复冲洗,直至抽出的液体较清亮后,注入抗生素,常用药物为异烟肼0.1+丁胺卡那霉素0.2腔内注射.如此治疗,反复5～10次不等,直至胸液消失.
In our hospital, empyema patients with tuberculous empyema is more common now in recent years, 25 cases of tuberculous empyema under the guidance of B-guided puncture treatment in order to improve the empyema, especially tuberculosis empyema Diagnosis and treatment level.Materials and methodsThe group of 25 cases, by pleural effusion smear, culture or pleural examination were diagnosed as tuberculous or mixed infection empyema, including 14 males and 11 females, aged 18 to 51 years. Patients were treated by anti-TB for more than 3 months, mostly irregular treatment, chest wear 2 to 5 times to empyema, duration of 3 months to 2 years with Ganges ST50 portable ultrasound probe frequency 3.5MHz, exploration and Guidance method slightly.All 25 patients under the B-guided puncture.According to the condition, usually every other day or 2 to 3 days puncture pus, rinse once.Every time the pus is drawn, rinsed repeatedly by saline until the liquid drawn More clear, the injection of antibiotics, commonly used drugs for isoniazid 0.1 + amikacin 0.2 intracavity injection.This treatment, repeated 5 to 10 times, until the pleural fluid disappears.