Ayub Irfan Ismail
Department of Pulmonary Medicine, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India.
Lung India. 2019 Mar-Apr;36(2):142-148. doi: 10.4103/lungindia.lungindia_153_17.
Issues related to the management of pleural effusion in India are unique. With high incidence of tuberculosis and malignancy, managing patients with pleural effusion may not be the same between patients. Decisions on intercostal chest drain insertion, volume of fluid to be removed during therapeutic thoracentesis, and further diagnostic imaging and investigations are often taken with difficulty in low-resource settings. Pleural manometry can help resolve these issues and help in the management of such patients. Pleural manometry has been advocated as a valuable tool to characterize underlying lung behavior during thoracentesis and has been proposed to be useful in diagnosing unexpandable lung, predicting the success of pleurodesis, and preventing the development of excessively negative pleural pressures which in turn may lead to the development of reexpansion pulmonary edema. There is very little literature on pleural manometry from India and other developing countries. In this article, the utility of pleural manometry in managing patients with malignant pleural effusion is discussed.
印度胸腔积液管理相关问题独具特色。由于结核病和恶性肿瘤发病率高，不同患者胸腔积液的管理方式可能有所不同。在资源匮乏地区，关于肋间胸腔引流管置入、治疗性胸腔穿刺抽液量以及进一步的诊断性影像学检查和调查等决策往往很难做出。胸腔测压有助于解决这些问题并辅助此类患者的管理。胸腔测压已被视为一种在胸腔穿刺过程中描述潜在肺部情况的重要工具，并且被认为有助于诊断肺不可复张、预测胸膜固定术的成功率以及预防胸膜腔内压力过度降低，而胸膜腔内压力过度降低可能会导致复张性肺水肿。来自印度和其他发展中国家的关于胸腔测压的文献非常少。本文将讨论胸腔测压在恶性胸腔积液患者管理中的应用。
