Iqbal Muhammad Ambreen, Gavin Joseph, Wilkinson Alex
Respiratory Department, East and North Hertfordshire NHS Trust, Stevenage, Hertfordshire, UK
Respiratory Department, East and North Hertfordshire NHS Trust, Stevenage, Hertfordshire, UK.
BMJ Case Rep. 2020 Mar 8;13(3):e233213. doi: 10.1136/bcr-2019-233213.
The use of indwelling pleural catheters (IPC) is well established in the treatment of malignant pleural effusions. They allow symptom management with intermittent drainage without requiring overnight admission to hospital. However, little is known about their effectiveness in the treatment of pleural infections. Here, we present a case where an IPC is used in the therapeutic management of tuberculous empyema. The IPC enabled outpatient treatment, allowed the patient to return to work and reduced the cost of treatment and the risk of hospital-acquired complications.
留置胸膜导管(IPC)在恶性胸腔积液的治疗中应用广泛。它们可通过间歇性引流进行症状管理,无需住院过夜。然而,关于其在胸膜感染治疗中的有效性知之甚少。在此,我们报告一例使用IPC治疗结核性脓胸的病例。IPC实现了门诊治疗,使患者能够重返工作岗位,并降低了治疗成本和医院获得性并发症的风险。