Reed D N, Vyskocil J J, Rao V
Department of Surgery, McLaren Regional Medical Center, Michigan State University College of Human Medicine, Flint, USA.
Am J Surg. 1999 Feb;177(2):145-6. doi: 10.1016/s0002-9610(98)00321-3.
Repeated percutaneous thoracentesis can involve serious complications, such as pneumothorax or infection. Alternatives such as placement of chest tubes or pleurodesis have their own potential complications. Creative options such as pleuroperitoneal shunting and video thoracoscopy have previously been used to avoid the disadvantages of repeated percutaneous thoracentesis. This paper describes an easy and effective method for managing these patients without repeated percutaneous thoracentesis. A port is inserted that can be accessed percutaneously and immediately for needed aspirations. We have successfully performed this procedure on 6 patients. Our hope is that the easy access using a short needle into the port aperture will allow the thoracentesis to be performed by appropriately instructed and supervised paramedical personnel. Also, with fewer postprocedure chest radiographs or hemothoraceses, future benefits from this procedure could include cost effectiveness.
反复进行经皮胸腔穿刺可能会引发严重并发症，如气胸或感染。诸如放置胸管或胸膜固定术等替代方法也有其自身潜在的并发症。此前曾采用诸如胸膜腹膜分流术和电视胸腔镜检查等创新方法来避免反复经皮胸腔穿刺的弊端。本文描述了一种无需反复经皮胸腔穿刺即可管理这些患者的简便有效方法。插入一个端口，可经皮立即进行所需的抽吸操作。我们已成功对6例患者实施了该手术。我们希望，通过使用短针经皮进入端口的简便操作，能够让经过适当培训和监督的辅助医疗人员进行胸腔穿刺。此外，由于术后胸部X光检查或血胸减少，该手术未来的益处可能包括成本效益。
