Complications and management of percutaneous pulmonary puncture needles

Mar 22, 2022

First, pneumothorax, pneumothorax is the most common complication, which mostly occurs during puncture or within 1 hour after puncture, with an incidence rate of 2% to 30%. The incidence of pneumothorax is related to the distance between the injection cavity and the chest wall. The farther the distance, the higher the incidence. A small amount of pneumothorax can be absorbed by itself, and a large amount of pneumothorax should be immediately drained by closed chest.

Second, bleeding, the incidence of bleeding is relatively low, most of which are phlegm and blood, and usually do not need special treatment. If there is a lot of bleeding, a hemostatic treatment can be given.

Third, the dissemination of lesions in the lower lobe. Individual patients may have disseminated lesions in the lower lung field on the same side after three to four injections. Continue to give the original treatment, and the lesions can be gradually absorbed.

Fourth, air embolism, but it is relatively rare, its precautions: the first positioning must be accurate, make sure the puncture needle is in the cavity before injecting medicine. When the second puncture needle punctures the pleura, the action should be quick, and the patient should be told to hold his breath. After the puncture needle enters the cavity, the patient can breathe calmly. The speed of injection in the third cavity should be moderate. Rapid injection can cause severe coughing. Injecting a small amount of lidocaine before injection can prevent severe coughing after injection. After the fourth injection, check again whether there is any medicine in the cavity, and observe whether there is any occurrence of pneumothorax.

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