CLINICAL ANALYSIS OF EFFICACY OF INSERTING CENTRAL VENOUS CATHETER INTO THORACIC CAVITY BY PERCUTANEOUS PUNCTURE IN THE TREATMENT OF PATIENTS WITH PLEURAL EFFUSION

ObjectiveTo explore the clinical application significance of inserting central venous catheter into thoracic cavity by percutaneous puncture to constant drainage to instead of multiple thoracentesis to draw pleural effusion in the treatment of patients with pleural effusion due to different diseases.Methods357 cases with medium or large amounts of pleural effusion due to different diseases proved by X-ray or bosom ultrasonograph were randomly divided into experimental group(n = 143)and control group(n = 214)in our hospital from January 2003 to June 2007,the two groups were treated with inserting central venous catheter to constant drainage and multiple thoracentesis to draw pleural effusion,respectively. The effectiveness,complication and cost of hospitalization in two groups were compared.ResultsThe average time of pleural effusion absorption in experimental group and control group were(7.34 ± 4.86)days and(20.14 ± 8.76)days,respectively,the pleural reaction of the two groups were 1.40% and 9.81%,respectively,the hydrothorax wrap incidence were 0% and 15.89%,respectively,the pneumothorax incidence were 0% and 1.87%,respectively,as well as the average hospitalization total costs were 1 291.52 ± 716.59 Yuan and 1 736.49 ± 1 211.43 Yuan. After treatment for three months,the pleural thickness in experimental group was(1.04 ± 0.18)mm while(2.15 ± 0.31)mm in control group. All indexes showed to be significant difference between the two groups(P﹤0.05).ConclusionDraining with inserting central venous catheter into thoracic cavity by percutaneous puncture in patients with pleural effusion has the advantages of easy,convenience,safe,cost-effective,little painful and efficacy,which should be spread in clinic.