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气胸的诊断与治疗,实操课程:第二部分。

Pneumothorax from diagnosis to treatment, hands on course: Part II.

机构信息

1 Pulmonary-Oncology, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 2 Department of Medical Oncology, Aristotle University School of Medicine, Thessaloniki, Greece ; 3 Oncology Department, "Interbalkan" European Medical Center, Thessaloniki, Greece ; 4 Oncology Department, "BioMedicine" Private Clinic, Thessaloniki, Greece ; 5 Surgery Department, University General Hospital of Alexandroupolis, Alexandroupolis, Greece ; 6 Thoracic Surgery Department, "Saint Luke" Private Hospital, Thessaloniki, Greece ; 7 2nd Pulmonary Clinic of "Sotiria" Hospital, Athens, Greece ; 8 Pulmonary Laboratory of Alexandra Hospital University of Athens, Athens, Greece ; 9 Ear, Nose and Throat, "Saint Luke" Private Hospital, Panorama, Thessaloniki, Greece ; 10 Nuclear Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Greece.

出版信息

Ann Transl Med. 2015 Mar;3(3):41. doi: 10.3978/j.issn.2305-5839.2015.02.10.

Abstract

Pneumothorax is a situation where air is inserted in the pleural space that separates the lung from the chest wall. Pneumothorax can be primary or secondary. There is also a third type called; tensioned. Based on the concentration of air and type of pneumothorax the proper treatment has to be selected. There are cases where the concentration is minimal and observation is enough and more severe cases where surgery is required. Currently there are many techniques used for the biopsy of lung lesions. The bronchoscope (forceps, fine needle aspiration), fine needle aspiration under computed tomography scan and endobronchial ultrasound (EBUS) are commonly used. However, all these techniques have in common a possible side effect; pneumothorax. In our current issue we will focus on the different minimally invasive techniques of pneumothorax management. Moreover, a presentation will be made for several systems that are being used for air or fluid aspiration.

摘要

气胸是指空气进入分隔肺和胸壁的胸膜腔的情况。气胸可分为原发性或继发性。还有第三种类型称为张力性气胸。根据空气浓度和气胸类型,必须选择适当的治疗方法。有些情况下,浓度很低,只需观察即可,而有些情况下则需要手术。目前,有许多用于肺病变活检的技术。支气管镜(活检钳、细针抽吸)、计算机断层扫描下的细针抽吸和支气管内超声(EBUS)是常用的方法。然而,所有这些技术都有一个共同的可能副作用,即气胸。在本期中,我们将重点介绍气胸管理的不同微创技术。此外,还将介绍几种用于空气或液体抽吸的系统。

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