Narasimhan Ramesh L, Sehgal Inderpaul S, Dhooria Sahajal, Aggarwal Ashutosh N, Behera Digambar, Agarwal Ritesh
Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
J Bronchology Interv Pulmonol. 2017 Jul;24(3):244-249. doi: 10.1097/LBR.0000000000000275.
Intrapleural foreign body is an uncommon condition, usually encountered in the setting of thoracic trauma, but can rarely complicate diagnostic procedures such as thoracentesis. The management involves urgent identification and removal of the foreign body. Although surgical extraction using thoracotomy or video-assisted thoracoscopic surgery under general anesthesia constitutes the primary management strategy, intrapleural foreign body can also be removed using medical thoracoscopy. Herein, we report the successful removal of 2 intrapleural foreign bodies using a rigid thoracoscope under local anesthesia and conscious sedation. We also performed a systematic review of the literature describing the use of medical thoracoscopy in the retrieval of an intrapleural foreign body.
胸膜腔内异物是一种罕见的情况，通常发生在胸部创伤的背景下，但很少会使诸如胸腔穿刺术等诊断程序复杂化。治疗方法包括紧急识别并取出异物。虽然在全身麻醉下通过开胸手术或电视辅助胸腔镜手术进行手术取出是主要的治疗策略，但胸膜腔内异物也可以通过内科胸腔镜取出。在此，我们报告在局部麻醉和清醒镇静下使用硬式胸腔镜成功取出2例胸膜腔内异物的病例。我们还对描述内科胸腔镜在胸膜腔内异物取出中的应用的文献进行了系统综述。
