肺积液怎样治疗

肺积液如何治疗配图，仅供参考

Treatment
Treatment aims at the primary cause,but neoplastic conditions and pleural effusions associated with an end-stage organ failure carry a poor prognosis. Therapeutic thoracocentesis is indicated in malignant effusions when horses are experiencing breathing difficulties. Chest tube drainage and chemical pleurodesis or thoracoscopy with talc poudrage may be one treatment option. The clinician should consider these procedures if (1) significant improvement in the status of the horse occurs with pleural fluid evacuation and (2) reexpansion of the lung is achieved once fluid is removed. Adapting protocols from human medicine (as successful management of malignant effusions in equine medicine has not been described) requires that the horse first be sedated. Then one administers a sclerosing agent in 100 to 500 ml of sterile solution through a chest tube. One clamps the tube for 1 hour before reconnecting it to continuous suction. One sclerosing agent that has been used is doxycyline (500 mg in 50 to 100 ml saline for human beings).
Poudrage is the most widely used method of instilling talc into the pleural space and usually is performed under thoracosopic guidance. Before spraying the talc over the visceral pleura,one should remove all pleural fluid: complete collapse aids in distributing the talc. In human medicine,one usually instills 5 g (8 to 12 ml) evenly over the pleural surface,places a chest tube,and applies progressive suction until the amount of fluid aspirated per day is less than 100 ml.","department":"