Division of Pulmonary Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
J Hosp Med. 2013 Jul;8(7):402-8. doi: 10.1002/jhm.2053. Epub 2013 Jun 14.
Iatrogenic pneumothorax has become an increasingly recognized complication of routine outpatient procedures, such as transthoracic needle biopsies of the lung and transbronchial lung biopsies. Patients with clinically significant pneumothorax are typically managed with evacuation via a percutaneously placed catheter or chest tube. Tube thoracotomy and chest tube management have traditionally been performed by cardiothoracic surgeons; however, with the increasing number of interventional radiologists and interventional pulmonologists, more chest tubes are being placed by specialists who do not admit and manage patients in the hospital setting. The responsibility for the admission of these patients to the hospital service has fallen to the internist. Hospitalists caring for such patients are often expected to manage the chest tube. General internal medicine training and the existing medical literature provide few guidelines to assist with this issue. We present a discussion of the current published literature and our management algorithms for hospitalists caring for patients admitted with iatrogenic pneumothorax.
医源性气胸已成为常规门诊程序（如经胸肺针吸活检和经支气管肺活检）日益公认的并发症。有临床意义气胸的患者通常通过经皮放置的导管或胸管进行引流。胸腔切开术和胸管管理一直由心胸外科医生进行；然而，随着介入放射科医生和介入肺科医生数量的增加，越来越多的胸管由不接受和管理医院环境中的患者的专家放置。将这些患者收治入院的责任落在了内科医生身上。负责治疗这些患者的医院医生通常需要管理胸管。普通内科培训和现有的医学文献几乎没有提供任何指导来帮助解决这个问题。我们介绍了当前发表的文献的讨论，并提出了我们的管理算法，供负责收治因医源性气胸而入院的患者的医院医生使用。
