《2010BTS胸膜疾病简介和方法指南》内容预览

CLINICAL CONTEXT
Pleural disease remains common, affecting over3000 people per million population each year. Theytherefore represent a signi?cant contribution to theworkload of respiratory physicians. Pleural diseaseoriginates from a wide range of pathologies anda systematic approach to the investigation andmanagement is therefore required. These guidelinesattempt to summarise the available evidence to aidthe healthcare professional in delivering goodquality patient care.

NEED FOR GUIDELINE
The Standards of Care Committee of the BritishThoracic Society (BTS) established a Pleural DiseaseGuideline Group in December 2007. The objectivewas to produce an evidence-based update of the lastpleural disease guidelines published in 2003. It wasrecognised that, since the last guideline, a numberof good quality primary research papers have beenpublished and the guidelines needed to re?ect thesenew data. In addition, there was a need to developnew sections on local anaesthetic thoracoscopy andthoracic ultrasound to re?ect changes in clinicalpractice.

INTENDED USERS AND SCOPE OF THE GUIDELINE
This guideline is intended for use by all healthcareprofessionals who may be involved in pleuraldisease management. This will include doctors,nurses and other healthcare professionals.

AREAS COVERED BY THIS GUIDELINE
The guideline addresses the investigation andmedical management of pleural disease in **s.This is divided into the following sections:

1.Investigation of a unilateral pleural effusion in**s.
2. Management of spontaneous pneumothorax.
3. Management of a malignant pleural effusion.
4. Management of pleural infection in **s.
5. Local anaesthetic thoracoscopy.

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