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肺炎周围渗出或脓胸影像导向经皮经胸引流适用于经诊断性胸穿表现为脓胸或炎性胸水者。CT 扫描显示薄壁且易于用针抽吸的单房炎性胸水作放射学引流是最有效的。术后脓胸、尤其与支气管胸膜瘘有关者或闭式引流效果不佳者通常需要外科开胸治疗。透视、超声、CT 或联合应用这些技术能准确导引导管置入,不同的影像导向选择依据是(1)操作技术简便有效,(2)胸水的量与部位,(3)患者状况,(4)放射科医生的经验。透视适用
Pneumonia exudate or empyema image-guided percutaneous transthoracic drainage for diagnostic chest wear performance of empyema or inflammatory pleural effusion. CT scans show that thin-walled and easy-to-use needle aspiration of unilaterally pleural fluid for radiotherapy drainage is the most effective. Postoperative empyema, especially those associated with bronchopleural fistula or poor drainage, often require surgical thoracotomy. The techniques of fluoroscopy, ultrasound, CT, or combined application can accurately guide the catheterization. The different imaging guidelines are based on (1) simple and effective operation technique, (2) pleural fluid volume and location, (3) Radiologist experience. Perspective applies