Author/Editor		Šifrer, Franc; Drinovec, Igor; Trinkaus, Darinka
Title		Plevralna punkcija, drenaža in plevrodeza
Translated title		Thoracentesis, chest tube drainage and pleurodesis
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 3, št. 7
Publication year		1998
Volume		str. 185-8
Language		slo
Abstract		Thoracentesis is a commonly used diagnostic and therapeutic procedure. Removal of pleural fluid should be performed by well trained and experienced operators. Thoracentesis is a valuable diagnostic technique helping us to distinguish between an exudate and a transudate. Therapeutic thoracentesis affords relief of symptoms of dyspnea, but prudence is advised during the procedure to avoid potential complications due to the use of large-bore thoracentesis needles and removal of large volumes of fluid. Pneumothorax can be managed by a variety of modalities, ranging from follow up with no intervention to percutaneous aspiration, chest tube drainage, thoracoscopic pleurodesis, thoracotomy and pulmonary resection. Patients with pneumonia and pleural effusionshould be evaluated by thoracentesis without delay. Further treatment is planned on the grounds of the pleural fluidexamination. Effective closed-tube drainage of empyema produces improvement in the patient's clinical and radiological status within 24 hours.
Summary		Plevralna punkcija ali torakocenteza je pogost diagnostični in terapevtski poseg. Razlike med transudativnimi in eksudativnimi plevritisi, z dodatnimi preiskavami izliva pogosto postavimo končno diagnozo. Terapevtska torakocenteza omogoča zmanjšanje dispneje. Uporaba velikih igel in odstranitev velike količine plevralnega izliva poveča možnost nastanka zapletov. Poseg naj opravi izkušen zdravnik. Pri zdravljenju pnevmotoraksa imamo različne možnosti od opazovanja do eksuflacije, drenaže, plevrodeze in plevrektomije. Pri bolniku s pljučnico in plevralnim izlivom je potrebno čimprej napraviti torakocentezo. preiskave plevralnega izliva določijo nadaljnje ukrepanje. V primeru empiema uspešna drenaža izboljša klinično stanje in rentgenski izvid že v 24 urah.
Descriptors		PLEURAL EFFUSION PARACENTESIS DRAINAGE PLEURODESIS PNEUMOTHORAX EMPYEMA, PLEURAL