Ullmer E, Wyser C, Solèr M
Abteilung für Pneumologie, Kantonsspital Basel.
Schweiz Med Wochenschr. 1998 Mar 21;128(12):451-8.
This article gives an overview of the aetiology, diagnostic evaluation and treatment of pleural effusions. A systematic approach including radiological and sonographic examinations and pleural fluid analysis is proposed with a view to selecting the most appropriate therapy. Common forms of exudative pleural effusions are explained in detail. For complicated parapneumonic effusions, new therapeutic options such as the use of fibrinolytics or thoracoscopic debridement are discussed. Talc slurry and thoracoscopic talc poudrage provide effective methods for pleurodesis in case of malignant effusions.
本文概述了胸腔积液的病因、诊断评估及治疗。提出了一种包括放射学和超声检查以及胸腔积液分析的系统方法，旨在选择最合适的治疗方法。详细解释了渗出性胸腔积液的常见类型。对于复杂性类肺炎性胸腔积液，讨论了使用纤维蛋白溶解剂或胸腔镜清创术等新的治疗选择。滑石粉浆和胸腔镜滑石粉喷洒术为恶性胸腔积液的胸膜固定术提供了有效的方法。
