PT -期刊文章盟Bedawi Eihab o . AU -塔瓦尔,Ambika AU -哈桑,法师AU -麦克拉肯,David j . AU - Asciak,蕾切尔非盟-美世,雷切尔·m . AU - Kanellakis Nikolaos即非盟-格里森,费格斯诉AU - Hallifax,罗布·j . AU - Wrightson John m . AU -拉赫曼纳吉布·m·TI -肋间血管筛查胸膜干预前的呼吸内科医生——现实世界的前瞻性研究实践援助- 10.1183/13993003.02245 -2019 DP - 2020年1月01 TA -欧洲呼吸杂志PG - 1902245 4100 - 4099 - //www.qdcxjkg.com/content/early/2020/02/06/13993003.02245 2019. -短//www.qdcxjkg.com/content/early/2020/02/06/13993003.02245-2019.full AB -介绍随着胸膜疾病发病率的上升，胸膜服务在国际上也在增长，医生进行的胸膜干预也在不断增加。这通常是在没有立即进行胸外科或介入放射学检查的部位进行的。严重的并发症，如胸膜出血，很可能被低估。目的评估呼吸内科医生是否可以在胸膜介入治疗时进行肋间血管筛查，作为可能提高安全操作的额外步骤。方法:这是一项前瞻性的观察性研究，研究对象为596例超声引导下的胸膜手术，由呼吸内科医生和培训生在三级中心进行。操作人员没有接受额外的正式放射学培训。肋间血管筛查采用低频探头和彩色多普勒特征。结果95%的手术中筛查出肋间血管，53%的手术成功识别出肋间动脉。筛查结果显示，所有手术的整体部位变化率为16%，当肋间动脉被成功识别时，这一比例增加到30%。 This resulted in procedure abandonment in 2% of cases due to absence of a suitable entry site. Intercostal vessel screening was shown to be of particular value in the context of image-guided pleural biopsy.Conclusion Intercostal vessel screening is a simple and potentially important additional step that can be performed by respiratory physicians at the time of pleural intervention without advanced ultrasound expertise. Whether the widespread use of this technique can improve safety requires further evaluation in a multi-centre setting with a robust prospective study.FootnotesThis manuscript has recently been accepted for publication in the European Respiratory Journal. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article.Conflict of interest: Dr. Bedawi has nothing to disclose.Conflict of interest: Dr. Talwar has nothing to disclose.Conflict of interest: Dr. Hassan has nothing to disclose.Conflict of interest: Dr. McCracken has nothing to disclose.Conflict of interest: Dr. Asciak has nothing to disclose.Conflict of interest: Dr. Mercer has nothing to disclose.Conflict of interest: Dr. Kanellakis has nothing to disclose.Conflict of interest: Dr. Gleeson has nothing to disclose.Conflict of interest: Dr. Hallifax has nothing to disclose.Conflict of interest: Dr. Wrightson has nothing to disclose.Conflict of interest: Dr. Rahman has nothing to disclose.