CT引导下经皮穿刺肺活检并发气胸的预防及处理

Prophylaxis and Treatment of the Complicated Pneumothorax By CT-Guided Percutaneous Transthoracic Needle Pulmonary Biopsy

目的 :探讨CT引导下经皮穿刺肺活检并发气胸的预防与处理。材料与方法 :5 2例肺内病变 ,CT引导下穿刺病变组织活检 ,共穿刺 6 7针次。结果 :7例患者并发气胸 (7/ 5 2 ) ,其中 1例并有血胸。 6例气胸肺压缩均未超过 10 % ,经卧床休息对症处理后 ,1周均自行吸收。 1例气胸合并少量胸腔积血 ,经止血、吸氧、休息等治疗后 2周复查 ,气胸已基本吸收 ,胸腔积血未增加。结论 :CT引导下经皮穿刺肺活检并发气胸 ,积极预防可明显减低其发生率。

Purpose:To probe into the prophylaxis and treatments of the complicated pneumothorax by CT-guided percutaneous transthoracic needle pulmonary biopsy.Materials and Method:A total of 67 biopsies were taken on 52 cases of interior pulmonary diseased tissue by CT-guided percutaneous transthortacic needle pulmonary biopsy.Results:A total of 7 patients of the 52 cases(7/52) had the complicated pneumothorax and one of the seven also had hemothorax.The pulmonary compression of all the 6 patients did not surpass 10% and their pneumothortax had been absorbed spontaneously with recovering in bed and the suit remedy in a week′s time.As for the only pneumothorax patient with the least hemothortax,a reexamination made after two weeks of treatments such as hemostasis,oxygen breathing in and recovering showed that the pneumothorax had been absorbed principally and there was no increase of thoracic blood.Conclusion:The occurrence of the complicated pneumothorax by CT-guided percutaneous transthoracic needle pulmonary biopsy can be effectively reduced by taking the active preventions.;The pneumothorax can also be absorbed with proper treatments even when it occurs.