常规胸腔中心静脉导管留置术中有一个应用血管扩张器扩张穿刺通路的步骤,否则由于胸壁穿刺通路狭窄仍无法置入中心静脉导管。我们在临床实践中发现胸膜活检用的Cope针,其外套管恰好能置入中心静脉导管,遂对原因不明的大中量胸腔积液患者28例,于常规胸膜活检术后经Cope针穿刺通路置入中心静脉导管引流胸液,简化了操作步骤,提高了诊治效率,取得了一定的经验,现报告如下。 1 对象 Conventional thoracic central venous catheter placement has a vasodilator expansion of the procedure of the puncture, or because of the narrow chest wall puncture access still can not be placed in the central venous catheter. We found in clinical practice Cope needle pleural biopsy, its jacket just into the central venous catheter, and then for unknown causes of large and medium volume pleural effusion in 28 patients, after conventional pleural biopsy by Cope needle puncture pathway Into the central venous catheter drainage of pleural fluid, simplifying the operation steps to improve the diagnosis and treatment efficiency, and gained some experience, are as follows. 1 object