Treatment Of Tuberculous Pleuritis Research Articles

Central Venous Catheter Based Closed Thoracic Drainage in the Treatment of Tuberculous Pleuritis.

Objective:To explore the clinical effect of central venous catheter closed thoracic drainage in the treatment of tuberculous pleurisy.Methods:One hundred and four patients with tuberculous pleurisy who were admitted to Binzhou People’s Hospital from August 2016 to August 2017 were divided into a control group and a treatment group according to random number table method, 52 each. The control group was treated with conventional pleural puncture and drainage, while the treatment group was treated with closed central venous catheter based thoracic drainage. The clinical efficacy, improvement time of clinical symptoms, total volume of drainage, pleural thickness, and improvement of quality of life and occurrence of adverse reactions were compared between the two groups.Results:Pleural effusion, fever and chest tightness of the treatment group disappeared earlier (P<0.05); the hospitalization time in the treatment group was less than that in the control group (P<0.05); the total amount of drainage in the treatment group was lower than that in the control group (P<0.05); the pleural thickness of the treatment group was higher than that in the control group (P<0.05); the quality of life score in the treatment group was significantly higher than that in the control group (P<0.05). The total effective rates of the treatment group and the control group were 93.5% and 85%, respectively, with a significant difference (P<0.05). The incidence of adverse reactions in the treatment group was significantly lower than that in the control group, with a significant difference (P<0.05).Conclusion:Central venous catheter based closed thoracic drainage is more effective than conventional thoracic puncture and drainage in the treatment of tuberculous pleurisy. It can accelerate the improvement of clinical symptoms, improve the quality of life of patients, and reduce the incidence of complications. It is worth popularizing and applying.

Analysis of medical thoracoscopy in the diagnosis and treatment of tuberculous pleuritis effusion

Objective To explore the value of medical thoracoscopy in the diagnosis and treatment of tuberculous pleuritis. Metheda 31 patients with tuberculous pleuritis in our hospital were analyzed retrospectively from January 2004 to December 2008. Of the those 10 patients were given medical thracoscopy with closed thoracic drainage as treatment group and 21 patients were given conventional pleuracentesis repeatedly after pleuralbiopsy or given pleural fluid drainage with deep venous catheter as the control group. Results All patients (100%) in the treatment group and 11 patients(52.38%) in the control group obtained the pathological final diagnosis. There was significant difference between the two groups in the detection rates(P O.05).Conclusion Medical thoracoscopy is a simple,fast effective method in the diagnosis and treatment of the patients with tuberculous plerritis in the earlier period. Key words: Medical thoracoscopy; Tuberculous pleuritis; Pleuralbiopsy; Diagnesis; Treatment