二次性自発性肺胸症の非常に高齢の患者で,50%のDWで比較的安全で効率的な胞処理: 2件の報告
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PubMedで要約を見る
まとめ
この要約は機械生成です。50% デクストロース水 (DW) を用いたプラウロデシスは,非常に高齢の患者における二次自発性肺胸炎の安全で効果的な治療法です. この方法は2人の高齢者の肺胸を 合併症なく治し 実行可能な代替手段として提案されました
科学分野
- 肺科
- 高齢者医療
- 胸部 外科
背景
- 二次性自発性肺胸炎 (SSP) は,特に肺腫のような肺疾患を患っている高齢者の重症です.
- 手術や化学的縮治療などの伝統的な治療は,弱い高齢者に重大なリスクをもたらす可能性があります.
- 既存の化学的縮剤は,痛み,発熱,呼吸障害を含む有害な効果をもたらす可能性があります.
研究 の 目的
- 50% デクストロース水 (DW) の安全性と有効性を評価する.
- この高リスク集団に対して 伝統的な治療法より 侵襲性の低い安全な治療法を提供することです
主な方法
- 高齢者の2人の症例報告で SSPと診断され 大型の肺胸部と肺腫と突起が特徴です
- 治療には,50%のデクストロース水 (DW) を用いた胞解消法が必要でした.
- 結末は,胸部コンピュータトモグラフィー (CT) スキャンと合併症のモニタリングによって評価されました.
主要な成果
- 両方の患者は,50%のDWプラウロデシスで肺胸部がうまく解消した.
- 胸の痛み,発熱,呼吸不全などの合併症は観察されなかった.
- 治療はよく耐えており,手術や標準的な化学性縮手術を受けられない患者に適していることが示された.
結論
- 50% デクストロース水 (DW) を使った膜切開は,非常に高齢の患者の二次自発性肺胸炎の管理に比較的安全で効果的な選択肢です.
- このアプローチは,SSPを患っている高齢の患者や,他の化学薬品に不耐性のある患者では考慮すべきです.
- 50%DWの膜切開は,脆弱な患者グループにおける従来の介入に関連するリスクを最小限に抑える有望な代替手段です.
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