Mynarek G, Brabrand K, Jakobsen J A, Kolbenstvedt A
Department of Radiology, Rikshospitalet University Hospital, Oslo, Norway.
Acta Radiol. 2004 Aug;45(5):519-22. doi: 10.1080/02841850410005804.
To retrospectively register the number and type of complications following ultrasound-guided thoracocentesis, and to evaluate the need for routine chest X-ray after the procedure.
Complications were retrospectively registered from the radiological and clinical reports of 371 consecutive patients who had undergone thoracocentesis with a total of 711 procedures.
The mean volume evacuated was 823ml (range 0-3600ml). Twenty (2.8%) pneumothoraces were found after 711 thoracocenteses, but in no case was chest tube drainage necessary. Hemoptysis occurred in one patient.
Ultrasound-guided thoracocentesis was found to be a safe procedure. Based on these results, no reason was found to introduce an upper limit of the amount of fluid drained in one session. Routine follow-up chest X-ray is not justified in the absence of clinical symptoms.
回顾性记录超声引导下胸腔穿刺术后并发症的数量和类型，并评估术后常规胸部X线检查的必要性。
从371例连续接受胸腔穿刺术（共711次操作）患者的放射学和临床报告中回顾性记录并发症情况。
平均引流出的液体量为823毫升（范围0 - 3600毫升）。711次胸腔穿刺术后发现20例（2.8%）气胸，但无一例需要胸腔闭式引流。有1例患者出现咯血。
超声引导下胸腔穿刺术是一种安全的操作。基于这些结果，未发现有理由设定单次引流液体量的上限。在没有临床症状的情况下，常规的随访胸部X线检查并无必要。
