It is reasonable to recommended intrapleural alteplase for loculated pleural effusions
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چکیده
منابع مشابه
Intrapleural urokinase in the treatment of loculated pleural effusions.
The purpose of this study was to assess the value of intrapleural urokinase (UK) instillations in enhancing tube drainage of loculated, complex pleural effusions. Tube thoracostomy has variable success in the treatment of complex pleural effusions, with limitations because of viscous fluid, improper tube position or kinking, and, most importantly, loculation. In the past, intrapleural administr...
متن کاملIntrapleural Fibrinolytic Therapy in Loculated Effusions
Loculated pleural effusions are most commonly due to complicated parapneumonic effusions and empyema followed by tubercular pleural effusions and empyema, hemothorax and malignant effusions. Loculations develop due to delayed initiation and inappropriate use of antibiotics and, delayed initiation of pleural space drainage. The presence of loculations and thick viscous fluid leads to failed pleu...
متن کاملIntrapleural Corynebacterium parvum for malignant pleural effusions.
A pilot study of topical (intrapleural) treatment with Corynebacterium parvum was carried out in 10 patients with malignant pleural effusions complicating primary or secondary neoplasms and necessitating frequent thoracocentesis for symptomatic relief. The method was aspiration of all intrapleural fluid except a small portion left for dilution, and then injection of 7 mg of a preparation of Cor...
متن کاملIntrapleural fibrinolytic therapy (IPFT) in loculated pleural effusions—analysis of predictors for failure of therapy and bleeding: a cohort study
OBJECTIVES To assess risk factors associated with failure and bleeding in intrapleural fibrinolytic therapy (IPFT) for pleural effusions. DESIGN Retrospective case series. SETTING Two tertiary-care centres in North America. PARTICIPANTS We identified 237 cases that received IPFT for the treatment of pleural effusions. Data for 227 patients were compiled including demographics, investigati...
متن کاملThoracocentesis of loculated pleural effusions using grey scale ultrasonic guidance.
Six patients with either malignant pleural effusion or empyema, in whom multiple conventional attempts at thoracocentesis were unsuccessful, were evaluated by ultrasound. In each case, a subsequent thoracocentesis guided by ultrasound produced sufficient fluid to enable a diagnosis to be established. In no case was pneumothorax produced.
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ژورنال
عنوان ژورنال: Clinical Research in Practice: The Journal of Team Hippocrates
سال: 2017
ISSN: 2379-4550
DOI: 10.22237/crp/1484092980