Indications, contraindications, complications of pleural puncture

indications

In order to confirm the nature of pleural effusion, pleural puncture and fluid extraction should be done to help the diagnosis. For a large number of fluid or gas accumulation caused by lung compression symptoms, and empyema patients must draw fluid for treatment; You have to inject drugs into the chest, etc.

contraindications

(1) Inflammation, tumor and trauma at the puncture site.

(2) Severe bleeding tendency, spontaneous pneumothorax, severe cataracts, severe tuberculosis, emphysema, etc.

Complications include pneumothorax, hemothorax, and redilated pulmonary edema, with a low incidence of pulmonary embolism. Pneumothorax is the most common complication, mostly due to puncture of the visceral pleura. Hemothorax is usually caused by injury of intercostal blood vessels. Hemothorax caused by abnormal coagulation mechanism is rare.

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