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[胸膜固定术]

[Pleurodesis].

作者信息

Melo Ricardo, Gonçalves J Rosal

机构信息

Serviço de Pneumologia, Hospital Santa Maria, Avenida Prof. Egas Moniz, 1699 Lisboa Codex, Portugal.

出版信息

Rev Port Pneumol. 2004 Jul-Aug;10(4):305-17. doi: 10.1016/s0873-2159(15)30588-2.

Abstract

Pleurodesis is a way of inducting an inflammatory process in the pleural surface in order to create the closure of the pleural space. The exact mechanism isn't completely understood and there is still a great deal of controversy concerning pleurodesis. Pleurodesis can be achieved by introduction of a sclerosant agent trough a chest tube into the pleural space, by medical thoracoscopy, by surgical thoracoscopy or by thoracotomy. The principal sclerosant agents are talc and tetracycline. The indications for pleurodesis are malignant recurrent pleural effusion, primary recurrent pneumothorax, secondary pneumothorax and benign pleural effusion resistant to medical treatment. There are, although, some contraindications to performing it. Serious complications of pleurodesis are rare and depend on the technique and agent used. The method of choice for pleurodesis is related to the experience and technical facilities available. The author presents a review about pleurodesis.

摘要

胸膜固定术是一种在胸膜表面引发炎症过程以促使胸膜腔闭合的方法。其确切机制尚未完全明确,关于胸膜固定术仍存在诸多争议。胸膜固定术可通过经胸管向胸膜腔内注入硬化剂、内科胸腔镜、外科胸腔镜或开胸手术来实现。主要的硬化剂是滑石粉和四环素。胸膜固定术的适应证为恶性复发性胸腔积液、原发性复发性气胸、继发性气胸以及内科治疗无效的良性胸腔积液。不过,实施胸膜固定术存在一些禁忌证。胸膜固定术的严重并发症较为罕见,且取决于所采用的技术和药物。胸膜固定术的首选方法与可用的经验和技术设备有关。作者对胸膜固定术进行了综述。

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