Fernandez Ramiro, Bharat Ankit
aDepartment of Surgery, Division of Thoracic Surgery bDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Curr Opin Pulm Med. 2016 Jul;22(4):362-6. doi: 10.1097/MCP.0000000000000282.
The method for identification of alveolopleural fistulae (APF) by visual inspection of air bubbles in the chest drainage system has several limitations and suffers from poor accuracy. Here we discuss the use of a novel technique of pleural gas analysis in the identification and management of APF.
We found that pleural gas analysis has higher sensitivity and specificity than visual inspection in identifying APF. Additionally, we demonstrated that intrapleural gas milieu impacts lung healing and reduction of intrapleural carbon dioxide can promote resolution of APF.
Pleural gas analysis is a novel technique to identify and manage APF. Integration of gas analysis in chest drainage systems would provide a more objective method for managing chest tubes and providing a favorable pleural gas environment for lung healing.
通过目视检查胸腔引流系统中的气泡来识别肺泡胸膜瘘（APF）的方法存在若干局限性，且准确性较差。在此，我们讨论一种用于APF识别与管理的新型胸膜气体分析技术的应用。
我们发现，胸膜气体分析在识别APF方面比目视检查具有更高的敏感性和特异性。此外，我们证明胸膜内气体环境会影响肺愈合，降低胸膜内二氧化碳可促进APF的消退。
胸膜气体分析是一种用于识别和管理APF的新技术。将气体分析整合到胸腔引流系统中，将为管理胸管提供更客观的方法，并为肺愈合提供有利的胸膜气体环境。
