Division of Interventional Pulmonology, The Johns Hopkins Hospital, Baltimore, Maryland 21205, USA.
Respirology. 2010 Feb;15(2):208-19. doi: 10.1111/j.1440-1843.2009.01680.x. Epub 2009 Dec 27.
The field of interventional pulmonology has rapidly expanded to include the management and treatment of complex diseases of the chest. The management of central airway obstruction, pleural disease diagnosis, treatment and palliation, advanced bronchoscopic techniques to aid in the diagnosis of lung cancer and innovative therapies to treat asthma and COPD have all emerged over the past decade. As astute clinicians, we are all aware of the risks and benefits of using these therapies to treat our patients. In order to appropriately treat and manage these often complex medical situations, the physician should have an expert knowledge of all available modalities, the expertise to safely perform the procedure and the ability to minimize the risk of and manage the associated complications that may arise. In this chapter we review and update some of the bronchoscopic and pleural interventions offered by interventional pulmonologists as well as the associated complications and management.
介入肺脏医学领域迅速扩展，涵盖了胸部复杂疾病的管理和治疗。在过去的十年中，中央气道阻塞的管理、胸膜疾病的诊断、治疗和姑息治疗、辅助肺癌诊断的先进支气管镜技术以及治疗哮喘和 COPD 的创新疗法都已出现。作为敏锐的临床医生，我们都意识到使用这些疗法治疗患者的风险和益处。为了适当地治疗和管理这些通常复杂的医疗情况，医生应该精通所有可用的方法，具备安全进行手术的专业知识，以及能够最小化可能出现的相关并发症的风险并进行管理。在本章中，我们回顾和更新了介入肺脏病学家提供的一些支气管镜和胸膜介入治疗方法，以及相关的并发症和管理。
