Martínez-Berganza A, Araiz J J
Rev Pneumol Clin. 1987;43(3):151-5.
The contribution of iatrogenic pathology to all pleural diseases was evaluated in a series of 562 cases by studying pleural effusions or pneumothoraxes induced by medical interventions. Iatrogenic pathology accounted for 5.5% of all pleural diseases (effusion 2.5%, pneumothorax 3%). The medical interventions most frequently responsible for pleural effusion were surgical operations performed in the thorax, but also on abdominal organs located close to the diaphragm. Pneumothorax was almost always induced by diagnostic manoeuvres: essentially needle biopsy and, less frequently, transbronchial lung biopsy under fibroscopy. It must be pointed out that iatrogenic pleural lesions are small and usually asymptomatic.
通过研究由医疗干预引起的胸腔积液或气胸,在一系列562例病例中评估了医源性病理对所有胸膜疾病的影响。医源性病理占所有胸膜疾病的5.5%(积液占2.5%,气胸占3%)。导致胸腔积液最常见的医疗干预是胸部手术,但也包括对靠近膈肌的腹部器官进行的手术。气胸几乎总是由诊断操作引起的:主要是经皮针吸活检,较少见的是在纤维支气管镜下进行的经支气管肺活检。必须指出的是,医源性胸膜病变较小,通常无症状。