门诊胸膜镜检查:转诊医院的经验报告。

Q4 Medicine
Pneumologia Pub Date : 2016-07-01
Arda Kiani, Abolghasem Daneshvar Kakhaki, Ali Khalili, Mahsa Pourabdolah Tootkaboni, Mitra Sadat Rezaie, Atefeh Abedini
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引用次数: 0

摘要

胸膜镜检查是评估胸膜疾病的安全诊断方法,并发症最少。这个程序最近在门诊的基础上进行。结果支持其安全性,特别是在繁忙的转诊医院。我们的目的是报告我们在Masih Daneshvari医院进行门诊胸膜镜检查的经验;德黑兰,伊朗。2015年5月至2016年5月期间,所有在Masih Daneshvari医院进行胸膜镜检查的符合条件的患者均被纳入研究。在手术室内,通过一根薄的Nelaton导管连接低压吸盘进行空气抽吸。漏气终止后用凡士林纱布加压包扎。第一次胸片为阴性气胸患者出院,建议保持联系,12小时后再来进行第二次胸片检查。回顾了基线特征、影像学和病理报告。对10例患者进行门诊胸膜镜检查。平均手术时间22±9分钟。4小时后全部出院。8例患者在12小时后仍无并发症,2例患者出现气胸(均有大量胸腔积液),并由我们的团队成功处理。病理诊断方面,本组患者(4例)胸膜结核与恶性肿瘤同样常见,腺癌以恶性肿瘤最多(3 / 4)。我们的病理学家报告了2例慢性非特异性炎症。门诊胸膜镜检查可以安全有效地进行,减少在转诊中心不必要的住院次数。闭式随访、患者教育和正确的患者选择是减少并发症的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outpatient pleuroscopy: Report of an experience in a referral hospital.

Pleuroscopy is a safe diagnostic procedure for evaluation of pleural diseases, with minimum complications. This procedure has been recently conducted on outpatient basis. Results support its safety, especially in busy referral hospitals. We aimed to report our experience on performing outpatient pleuroscopy at Masih Daneshvari hospital; Tehran, Iran. All eligible patients referred to Masih Daneshvari Hospital for pleuroscopy between May 2015 and May 2016 were enrolled. Air evacuation was conducted in operating room though a thin Nelaton catheter attached to low pressure suction. Compression dressing using Vaseline gauze was done after air leak terminated. Patients were discharged if first chest x-ray was negative for pneumothorax and were advised to stay in touch and return 12 hours later for second chest radiograph. Baseline characteristics, radiographic and pathologic reports were reviewed. Outpatient pleuroscopy was conducted on 10 patients. Average procedure time was 22±9 minutes. All patients were discharged after 4 hours. Eight of the patients remained free of complications after 12 hours, and 2 patients presented with pneumothorax (both who had massive pleural effusion) and were successfully managed by our team. Considering pathologic diagnosis, pleural tuberculosis was as common diagnosis as malignancy in our patients (4 patients), adenocarcinoma was the most malignancy reported (3 out of 4 patients). Chronic nonspecific inflammation was reported by our pathologist in 2 cases. Outpatient pleuroscopy can be conducted safely and effectively, reducing the number of unnecessary hospitalizations in a referral center. Closed follow up, patient education and proper patient selection are necessary for minimizing complications.

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来源期刊
Pneumologia
Pneumologia Medicine-Pulmonary and Respiratory Medicine
CiteScore
0.20
自引率
0.00%
发文量
10
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