医学
气胸
脓胸
基督教牧师
心胸外科
普通外科
干预(咨询)
重症监护医学
外科
护理部
神学
哲学
作者
Anand Sachithanandan,Balaji Badmanaban
出处
期刊:PubMed
日期:2011-06-01
卷期号:66 (2): 164-164
摘要
1. Given the paucity of data regarding prevalence and outcomes of SP in Malaysia, the authors should be commended for raising local awareness of this important and relatively common condition, and for highlighting the lack of awareness regarding contemporary treatment guidelines. The authors quite rightly suggest judicious adoption of international guidelines into local practice however the availability or perceived lack of cardiothoracic (CT) surgeons is less relevant in the initial management of SP. A cardiothoracic surgical opinion should be actively sought for management of complicated SP and surgery is indicated for patients with a persistent air leak or if the underlying lung fails to re-expand despite adequate drainage. Other indications for surgical intervention include a recurrent ipsilateral SP, first contralateral SP, bilateral SP and to treat associated complications including a haemothorax or empyema. It should be possible to safely transfer all such patients to a regional CT unit for definitive treatment following prior consultation. Currently nationally there are ten major CT units (including six Ministry of Health regional departments) in addition to numerous private facilities hence no SP patient should be denied access to specialist CT care if required.
科研通智能强力驱动
Strongly Powered by AbleSci AI