Talc pleurodesis via medical thoracoscopy for malignant or chronic pleural effusion

被引：0

作者：

Gillissen, A. ^{[1
]}

Kellner, S. ^{[2
]}

机构：

[1] Klinikum Kassel, Klin Lungen & Bronchialmed, Monchebergstr 41, D-34125 Kassel, Germany

[2] Klinikum Kassel, Klin Thoraxchirurg, Kassel, Germany

来源：

PNEUMOLOGE | 2010年 / 7卷 / 05期

关键词：

Talc poudrage; Medical thoracoscopy; Pleural effusion; Pleurodesis; Talc slurry;

D O I：

10.1007/s10405-009-0391-4

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Talc is considered today as the agent of choice for pleurodesis, since it has a success rate of over 90%, depending on the application method used. Talc is a natural, asbestosfree product composed of talc, chlorite, and trace minerals. The powder is sprayed thoracoscopically on both pleural layers under visual control, whereas the slurry is instilled through the chest tube. Talc damages the mesothelial cells within 24 h. The resulting inflammation induces symphysis between the pleural layers. The application of talc has been widely studied; it is safe with rare adverse effects, widely available, and cost-efficient. This review gives an overview and offers tips and tricks for the use of talc as poudrage and slurry.

引用

页码：336 / 342

页数：7

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