RT期刊文章SR电子T1并发症symptom-limited使用吸入胸腔穿刺术摩根富林明欧洲呼吸杂志乔和J FD欧元欧洲呼吸学会SP 1902356 10.1183/13993003.02356 -2019签证官56是5 A1 Sagar,阿拉巴马州Eddin s A1为玛丽亚·f·A1 Adrianza A188bet官网地址ndres m . A1阿尔达纳Grecia l . A1博罗莱昂纳多A1 Armas-Villalba,阿里司提戴斯A1 Toquica,基督教c A1拉尔森,安德鲁j . A1瓶玛卡瑞娜r . A1 Grosu Horiana b A1 Ost, David e . A1 Eapen,乔治·a . A1 Sheshadri Ajay A1 Morice Rodolfo c A1香农,Vickie r . A1 Bashoura,劳拉A1 Balachandran, Diwakar d A1阿尔梅达,旧金山a . A1 Uzbeck Mateen h . A1有格的,罗伯特·f·A1的费,背景:抽吸胸腔穿刺被认为增加了并发症的风险，包括气胸和再扩张性肺水肿(REPO)。目前的指南建议将排水限制在1.5 L以避免回购。我们的目的是研究使用抽吸术限制症状性胸腔积液引流的并发症发生率，并确定导致胸腔积液回收的危险因素。方法回顾性队列研究2004年1月1日至2018年8月31日在我所行抽吸术的所有成年患者，共纳入10 344条胸膜。结果19%的手术切除了≥1.5 L的胸腔积液。胸腔穿刺因胸部不适(39%)、液体完全引流(37%)和持续咳嗽(13%)而停止。胸片检出气胸3.98%，仅0.28%需要干预。REPO发生率为0.08%。东部肿瘤合作组(ECOG PS)≥3并≥1.5 L (0.04-0.54%; 95% CI 0.13–2.06 L). Thoracentesis in those with ipsilateral mediastinal shift did not increase complications, but less fluid was removed (p<0.01).Conclusions Symptom-limited thoracentesis using suction is safe even with large volumes. Pneumothorax requiring intervention and REPO are both rare. There were no increased procedural complications in those with ipsilateral mediastinal shift. REPO increased with poor ECOG PS and drainage ≥1.5 L. Symptom-limited drainage using suction without pleural manometry is safe.Symptom-limited thoracentesis using suction is safe even with large volumes. Pneumothorax requiring intervention and REPO are rare. Drainage ≥1.5 L with ECOG performance status 3 or 4 increased the risk of REPO. https://bit.ly/3ds1Hko