Pleurodesis

S. Chapman, Grace V. Robinson, R. Shrimanker, C. Turnbull, J. Wrightson
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Abstract

The aim of pleurodesis is to seal visceral to parietal pleura with adhesions to prevent pleural fluid or air accumulating. Pleurodesis is dependent upon lung re-expansion following removal of pleural fluid or air, which allows the apposition of visceral and parietal pleura. This may be encouraged by applying suction to an intercostal drain. Inflammation of the pleural surfaces and local activation of coagulation, required to produce pleural fibrosis and adhesions. May be induced by chemical sclerosing agent or by mechanical pleural abrasion at VATS.
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肋膜
胸膜切除术的目的是用粘连密封内脏胸膜壁层,以防止胸膜液或空气积聚。胸膜萎缩依赖于胸腔积液或空气去除后肺的再扩张,这允许内脏胸膜和胸膜壁层的移位。这可以通过对肋间引流管施加吸引来促进。胸膜表面的炎症和局部凝血激活,需要产生胸膜纤维化和粘连。可能由化学硬化剂或机械胸膜磨损引起。
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