肺部:非保守的管理:一个叙述性回顾
Walid Hadid1,2, Giulia Maria Stella3,4, Ashish P Maskey1
1Division of Pulmonary, Critical Care, Sleep Medicine and Interventional Pulmonary, University of Kentucky, Lexington, KY, USA.
Journal of thoracic disease
|June 17, 2024
概括
对于对抗生素无反应的肺,内镜导管排水 (ECD) 和皮肤穿管排水 (PTTD) 是安全的干预措施. ECD的并发症率较低,似乎比PTTD更安全.
科学领域:
- 肺部病理学 肺部病理学
- 干预性放射学 干预性放射学
- 胸部外科手术 胸部外科手术
背景情况:
- 系统性抗生素是肺的主要治疗方法.
- 很大比例的肺 (高达37%) 不对抗生素治疗有反应.
- 对于耐火性肺瘤病例,需要采取替代干预措施.
研究的目的:
- 审查肺部的干预程序.
- 总结排水方法的技术,安全性,并发症和适用情况.
- 为了比较皮肤穿管排水 (PTTD) 和内镜导管排水 (ECD).
主要方法:
- 使用Medline/PubMed.Med进行了全面的文献搜索.
- 搜索涵盖了1980年1月至2023年10月的出版物.
- 关键词包括"肺", "肺", "内镜排水", "皮肤通道排水"和"管道排水" (不包括儿科患者).
主要成果:
- 皮肤穿管排水 (PTTD) 和内镜导管排水 (ECD) 通常是安全的程序.
- 对PTTD或ECD的早期干预可以减少住院和医疗负担.
- 与PTTD相比,内镜导管排水 (ECD) 的并发症率和死亡率较低,成功率相似.
结论:
- 无论是PTTD还是ECD都是对肺部的安全有效干预措施.
- 与PTTD相比,内镜导管排水 (ECD) 的并发症率较低,安全性更好.
- 的位置和支气管通道是选择ECD而不是PTTD的关键因素.
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