经皮猪尾导管在床边行胸腔穿刺置管的效果。
Efficacy of percutaneous pigtail catheters for thoracostomy at bedside.
机构信息
Critical Care, Jersey City Medical Center, Jersey City, New Jersey, USA.
出版信息
J Thorac Dis. 2012 Jun 1;4(3):292-5. doi: 10.3978/j.issn.2072-1439.2011.12.01.
OBJECTIVE
Given the potential morbidity of traditional chest tube insertion, use of pigtail is desirable. The purpose of this case series is to determine the efficacy of bedside pigtail thoracostomy catheters in Adult population by using bedside ultrasound by the pulmonologists.
METHODS
It is a retrospective case series, which describes the importance of bedside pigtail catheters placements for emergent symptomatic relief for the patients. Predicting a successful drainage, procedure is a complex and multifactorial process based on size, location, character and configuration of the abscess.
RESULTS
Our experience shows that the use of standard size (7-8.5 F) pigtail catheters is usually very successful in draining of the pleural fluids. Less time consumption, lower cost and bedside technique makes it superior to conventional chest tube placement in many aspects.
CONCLUSIONS
Percutaneous pigtail catheters are useful in the drainage of pleural fluids. The pigtail catheters can be placed successful at bedside by the pulmonologists under ultrasound guidance with minimal complications and marked clinical improvement. The cost effectives of this procedure over the conventional chest tube placement, makes this procedure more desirable in most of the hospital settings.
目的
鉴于传统胸腔管插入术的潜在发病率，使用猪尾导管是可取的。本病例系列的目的是通过肺病学家使用床边超声来确定床边猪尾胸腔引流管在成人中的疗效。
方法
这是一项回顾性病例系列研究，描述了床边猪尾导管放置在为有症状的患者提供紧急症状缓解方面的重要性。预测成功引流是一个复杂的多因素过程，取决于脓肿的大小、位置、特征和形态。
结果
我们的经验表明，使用标准尺寸（7-8.5F）的猪尾导管通常非常成功地引流胸腔积液。床边技术具有耗时少、成本低的优点，在许多方面优于传统的胸腔管放置。
结论
经皮猪尾导管在胸腔积液引流中很有用。肺病学家在超声引导下可以成功地将猪尾导管放置在床边，并发症少，临床改善明显。与传统的胸腔管放置相比，该操作具有成本效益，使得该操作在大多数医院环境中更受欢迎。
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