胸腔脓胸是一种以脓液在肺的胸膜腔中积聚为特征的疾病。胸腔脓胸是男性高死亡率的原因,其发生率在儿童和成人中都在增加。传统上,胸管引流一直是首选的治疗方法,但是最近的研究表明,猪尾导管引流是一种更有效,侵入性较小的替代方法。图像引导引流也优于盲引流,正在探索替代的排水地点。这些管理改变改善了患者的预后并降低了并发症的风险。
■一名66岁的女性出现咳嗽,发烧,和胸痛。进行了临床检查,并进行了相关调查。然后,她接受了左侧胸脓胸的治疗。在超声引导下,通过后外侧入路,将猪尾导管通过左第9肋间间隙插入局部脓胸。
■本文的主要目的是概述一种罕见的脓胸管理方法,一种以肺部胸膜腔积脓为特征的病症。在这个案例报告中,作者将重点放在猪尾导管引流上,而不是传统的胸管引流上,和图像引导引流已经在盲目引流,确保准确的放置和减少损害周围组织的风险。脓胸管理的另一个显着变化是,根据超声引导下的定位部位,引流部位从安全三角形转移到其他部位。
Empyema thoracis is a condition characterized by the accumulation of pus in the pleural cavity of the lungs. Empyema thoracis is a cause of high mortality in man and its occurrence is increasing in both children and adults. Traditionally, chest tube drainage has been a preferred method of treatment, but recent studies have shown that pigtail catheter drainage is a more effective and less invasive alternative. Image-guided drainage is also preferred over blind drainage, and alternative drainage sites are being explored. These management changes have improved patient outcomes and reduced the risk of complications.
UNASSIGNED: A 66-year-old female presented with complaints of cough, fever, and chest pain. A clinical examination was done and relevant investigations were sent. She was then treated in the line of left-sided empyema thoracis. A pigtail catheter was inserted into the loculated empyema via the left 9th intercostal space through a posterolateral approach with ultrasonography guidance.
UNASSIGNED: The main aim of this article is to provide an overview of a rare management approach for empyema, a condition characterized by the accumulation of pus in the pleural cavity of the lungs. In this
case report, the authors have focused on pigtail catheter drainage over traditionally performed chest tube drainage, and image-guided drainage has been performed over blind drainage ensuring accurate placement and reducing the risk of damage to surrounding tissues. Another notable change in empyema management is the shift in drainage sites from the safety triangle to other sites based on the site of loculations under ultrasonography guidance.