肺结核复发的危险因素在肺结核患者有大量的血
Qiong Lin1, Jian Chen2, Tianxing Yu1
1Department of Respiratory Medicine, Fuzhou No.1 Hospital Affiliated with Fujian Medical University, Fuzhou, Fujian, China.
The clinical respiratory journal
|July 5, 2023
概括
支气管动脉栓塞 (BAE) 有效地治疗了肺结核患者的大型血栓塞. 系统肺部分流和临床失败被确定为复发的关键风险因素,需要对患者进行仔细的选择和监测.
科学领域:
- 干预性放射学 干预性放射学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 大规模的血栓塞是肺结核患者的一种危及生命的并发症.
- 支气管动脉栓塞 (BAE) 是一种已确立的血治疗方法,但其在结核病患者中的疗效和复发因素需要具体评估.
研究的目的:
- 评估BAE在治疗肺结核患者大规模血栓塞的有效性.
- 在这个患者群体中确定BAE后复发的预测因子.
主要方法:
- 81名患有大规模血和肺结核的患者进行了BAE的回顾性审查 (2014年1月 - 2017年12月).
- 随访时间从18个月到66个月不等.
- 对复发率和相关风险因素的分析,包括全身肺切换和临床失败.
主要成果:
- 在73名患者中,BAE成功控制了血,导致临床改善.
- 在随访期间,在11名患者中观察到复发.
- 系统性肺部转移和临床失败与更高的复发率有显著的相关性. 累计不复发率为95.3%在3个月和81.9%在>24个月. 并发症发生在12.5%的患者中,但是自我限制的.
结论:
- 支气管动脉栓塞 (BAE) 是一个安全有效的治疗选择,用于肺结核患者的大规模血栓塞.
- 在这个队列中,系统肺突变和临床失败是 BAE 后血复发的重要危险因素.
相关概念视频
Pulmonary Tuberculosis I
277
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
277
Pulmonary Tuberculosis II
276
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
276
Pulmonary Tuberculosis V
212
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
212
Pulmonary Tuberculosis III
376
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
376
Pulmonary Tuberculosis IV
172
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
172
Other Pulmonary Disorders
875
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
875


