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局部麻醉胸腔镜检查:重点关注适应证、技术和并发症。

Local Anesthetic Thoracoscopy: A Focus on Indications, Techniques and Complications.

机构信息

Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy; Thoracic Surgery Unit, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.

Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy; Department of Specialistic Medicine, Institute of Respiratory Diseases, University Hospital Policlinico of Foggia, Foggia, Italy.

出版信息

Arch Bronconeumol. 2024 Jul;60(7):423-430. doi: 10.1016/j.arbres.2024.04.019. Epub 2024 Apr 30.

Abstract

The main purpose of this narrative review is to educate general practitioners about a crucial pleural procedure, namely local anesthetic thoracoscopy (LAT), and to provide established respiratory physicians with an expert opinion-based summary of the literature. This narrative review focuses on the indications, technical aspects and complications of LAT, highlighting its safety and high degree of diagnostic sensitivity for patients who present with an unexplained pleural effusion and have a high pre-test probability of cancer.

摘要

本文主要目的是向全科医生介绍一项重要的胸膜操作技术,即局部麻醉下胸腔镜检查(LAT),并为资深呼吸科医师提供基于专家意见的文献综述。本文重点介绍了 LAT 的适应证、技术要点和并发症,强调了其在不明原因胸腔积液且癌症前测概率高的患者中的安全性和高诊断灵敏度。

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