Use of tunneled pleural catheters in chronic empyema: Two case reports and brief review of the literature.

在慢性脓胸中使用隧道式胸膜导管 ： 两个病例报告并简要回顾文献。

• 发表时间: 2022
• 来源期刊: Respir Med Case Rep
• DOI: 10.1016/j.rmcr.2022.101754
• PMID: 36246015
• 文章类型: Case Reports
• 作者列表: Krumm IR,Gesthalter YB,Krumm IR,Gesthalter YB

关键词: Empyema; Pleural infection; Pleuroscopy; TPC, tunneled pleural catheter; Tunneled pleural catheter; VATS, video-assisted thorascopic surgery; Empyema; Pleural infection; Pleuroscopy; TPC, tunneled pleural catheter; Tunneled pleural catheter; VATS, video-assisted thorascopic surgery

Abstract

The incidence of empyema is increasing worldwide, which, coupled with the aging global population, makes the non-surgical management of pleural space infections increasingly important. Despite this, there remains no consensus for management of chronic empyema in those patients who are not surgical candidates and do not get adequate source control with chest tube and intra-pleural lytic therapy, particularly for patients with non-expandable lungs. We reviewed the literature regarding non-surgical management of chronic empyema and present two cases that support the use of pleuroscopy in conjunction with tunneled pleural catheters for management of chronic empyema in non-surgical candidates.

摘要

脓胸的发病率在全球范围内呈上升趋势,which,再加上全球人口老龄化，使得胸膜间隙感染的非手术治疗越来越重要。尽管如此,对于那些不是手术候选人并且没有通过胸管和胸膜内溶解疗法获得足够的来源控制的患者，慢性脓胸的管理仍没有共识。特别是对于不可扩张的肺部患者。我们回顾了有关慢性脓胸的非手术治疗的文献，并介绍了两个病例，这些病例支持将胸膜镜检查与隧道式胸膜导管结合使用，以治疗非手术候选人的慢性脓胸。