Thoracic Surgery Unit, Sacro Cuore Don Calabria Research Hospital - Cancer Care Center, Via Don Angelo Sempreboni 5, Negrar, Verona 37024, Italy.
Thoracic Surgery Unit, Sacro Cuore Don Calabria Research Hospital - Cancer Care Center, Via Don Angelo Sempreboni 5, Negrar, Verona 37024, Italy.
Thorac Surg Clin. 2017 Feb;27(1):47-55. doi: 10.1016/j.thorsurg.2016.08.008.
Malignant pleural effusion (MPE) symptoms have a real impact on quality of life. Surgical approach through video-assisted thoracic surgery provides a first step in palliation. In patients unfit for general anesthesia, awake pleuroscopy represents an alternative. Sclerosing agents can be administered at the bedside through a chest tube. Ideal treatment of MPE should include adequate long-term symptom relief, minimize hospitalization, and reduce adverse effects. Indwelling pleural catheter (IPC) allows outpatient management of MPE through periodic ambulatory fluid drainage. IPC offers advantages over pleurodesis in patients with poor functional status who cannot tolerate pleurodesis or in patients with trapped lungs.
恶性胸腔积液（MPE）症状对生活质量有实际影响。通过电视辅助胸腔镜手术的外科方法是姑息治疗的第一步。对于不能接受全身麻醉的患者，清醒胸腔镜检查是一种替代方法。硬化剂可通过胸腔引流管在床边给药。MPE 的理想治疗应包括充分的长期症状缓解、尽量减少住院治疗和减少不良反应。留置胸腔导管（IPC）允许通过定期门诊液体引流来管理 MPE。在不能耐受胸膜固定术的功能状态差的患者或在肺部受压的患者中，IPC 比胸膜固定术具有优势。
