Abunasser Jafar, Brown Robert
Department of Internal Medicine, Saint Vincent's Medical Center, Bridgeport, USA.
Conn Med. 2010 Jan;74(1):23-6.
To assess the risks associated with removal of more than 1 liter of pleural fluid in one settingwithout intrapleural pressure monitoring.
Single-center retrospective chart review.
Medium-sized community-based teaching hospital in Bridgeport, Connecticut.
We reviewed thoracenteses performed between February 2004 and March 2006, and documentedtherates of hypotension, pneumothorax, bleeding, andre-expansion pulmonaryedema.
A total of 300 thoracenteses performed on 237 patients were analyzed, of which 137 were large volume (>1 liter) and 163 were small volume (<1 liter). There was no statistically significant increase in risk of pneumothorax, hypotension, or bleeding with large-volume thoracentesis. One case of radiographically-identified re-expansion pulmonary edema occurred when 2600 mL of fluid were removed.
Large-volume thoracentesis is a safe procedure that is comparable in risk to small volume thoracentesis.
评估在未进行胸腔内压力监测的情况下一次性抽取超过1升胸腔积液的相关风险。
单中心回顾性病历审查。
康涅狄格州布里奇波特市的一家中型社区教学医院。
我们回顾了2004年2月至2006年3月期间进行的胸腔穿刺术，并记录了低血压、气胸、出血和复张性肺水肿的发生率。
共分析了对237例患者进行的300次胸腔穿刺术，其中137次为大量（>1升），163次为少量（<1升）。大量胸腔穿刺术导致气胸、低血压或出血风险无统计学显著增加。在抽取2600毫升液体时发生了1例经影像学确诊的复张性肺水肿。
大量胸腔穿刺术是一种安全的操作，其风险与少量胸腔穿刺术相当。
