title: [Application of continuous thoracic close drainage using central venous catheter in the treatment of tuberculous pleurisy in children].
abstract: OBJECTIVE
  To study the clinical effect of continuous thoracic close drainage using central venous catheter instead of repeated thoracocentesis in the treatment of tuberculous pleurisy in children.
  
  
  METHODS
  Thirty-nine children with tuberculous pleurisy, who received continuous thoracic close drainage using central venous catheter in addition to conventional antituberculous chemotherapy, were used as the observation group and 42 children with tuberculous pleurisy who underwent repeated thoracocentesis in addition to conventional antituberculous chemotherapy served as the control group. The two groups were compared in terms of time to pleural effusion absorption, improvement in pleural thickening, length of hospital stay, and puncture-related expenses.
  
  
  RESULTS
  Compared with the control group, the observation group had significantly faster pleural effusion absorption (8 ± 4 d vs 12 ± 6 d; P < 0.01), significantly more improvement in pleural thickening (1.50 ± 0.25 mm vs 3.10 ± 0.30 mm; P < 0.05), a significantly shorter length of hospital stay (11 ± 3 d vs 18 ± 6 d; P < 0.01), and significantly lower puncture-related expenses (269 ± 24 yuan vs 475 ± 50 yuan; P < 0.05), as well as alleviated pain.
  
  
  CONCLUSIONS
  Continuous thoracic close drainage using central venous catheter is superior to repeated thoracocentesis in the treatment of tuberculous pleurisy in children, and it holds promise for clinical application in pediatric patients.
authors.affiliation: Department of Pediatrics, Second Affiliated Hospital & Yuying Children's Hospital, Wenzhou Medical College, Wenzhou, Zhejiang 325027,China. wzlichch@21cn.com.
authors.forename: Jiang-Bing
authors.initials: JB
authors.lastname: Jin
authors.forename: Xian-Xiang
authors.initials: XX
authors.lastname: Song
authors.forename: Yong-Hai
authors.initials: YH
authors.lastname: Zhou
authors.forename: Chang-Chong
authors.initials: CC
authors.lastname: Li
mesh_terms: D000293:Adolescent; D062905:Central Venous Catheters; D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D014396:Tuberculosis, Pleural / Q000628:therapy*