联合ERS/EACTS/ESTS临床实践指南,针对自发性肺胸的成年人
Steven Walker1,2, Robert Hallifax3,4, Sara Ricciardi5,6
1Academic Respiratory Unit, Southmead Hospital, Bristol, UK.
概括
本指南为管理自发性肺胸部 (SP) 提供了基于证据的建议. 它建议对稳定,症状最小的患者进行保守的护理,并赞成针吸入而不是胸腔管用于初级SP治疗.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 临床实践指南 临床实践指南
背景情况:
- 正在讨论自发性肺胸部 (SP) 的最佳管理.
- 现有的指导方针需要根据新的证据进行更新.
研究的目的:
- 为SP管理提供基于证据的建议.
- 解决关于肺胸部治疗的关键临床问题.
主要方法:
- 多学科工作组召开会议.
- 在 MEDLINE 和 Embase 进行系统的文献搜索.
- 使用的证据和决定框架的证据的确定性等级.
主要成果:
- 在稳定,最小症状的原发性自发性肺胸病 (PSP) 中,为保守护理的有条件建议.
- 强烈建议在最初的PSP治疗中,通过胸管进行针刺吸.
- 在PSP中进行门诊管理和早期手术的有条件建议,以预防复发.
结论:
- 为SP管理提供了国际临床实践建议.
- 确定了持续的空气泄漏和预防复发的证据缺口.
- 为未来研究提出的研究建议.
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