经胸细针抽吸在社区获得性肺炎病因学诊断中的作用。
Transthoracic fine-needle aspiration in the aetiological diagnosis of community-acquired pneumonia.
机构信息
Department of Geriatrics and Internal Medicine, Sorlandet Hospital Arendal HF, Arendal, Norway.
出版信息
Clin Microbiol Infect. 2010 Jul;16(7):909-11. doi: 10.1111/j.1469-0691.2009.03000.x. Epub 2009 Jul 21.
Abstract
To investigate the safety and practicability of conducting transthoracic fine-needle aspiration (TFNA) in a general hospital setting, we applied the TFNA procedure to 20 patients hospitalized with community-acquired pneumonia (CAP) within 36 h of admission. Also, a preliminary assessment was made of the potential value of adding TFNA to conventional methods of diagnostic microbiology. TFNA was easy to perform and caused little discomfort, and no serious adverse events were observed. In spite of ongoing antimicrobial treatment, a likely aetiological diagnosis was established for 14 of 20 (70%) of the patients. TFNA may provide important additional information on the aetiology of CAP.
摘要
为了研究在综合医院环境下进行经胸细针抽吸（TFNA）的安全性和实用性，我们对 20 名在入院后 36 小时内因社区获得性肺炎（CAP）住院的患者应用了 TFNA 程序。此外，我们还初步评估了将 TFNA 添加到传统诊断微生物学方法中的潜在价值。TFNA 易于操作，几乎不会引起不适，且未观察到严重的不良事件。尽管正在进行抗菌治疗，但 20 名患者中有 14 名（70%）确定了可能的病因诊断。TFNA 可能为 CAP 的病因提供重要的额外信息。
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