支气管镜肺体积减小:临床综述
Shourjo Chakravorty1, Mahwish Bari2, Duy Kevin Duong3
1Department of Medicine, Inova Fairfax Medical Center, Falls Church, VA, USA.
Thoracic surgery clinics
|July 6, 2023
概括
使用支气管内膜的支气管镜肺体积减小方法为晚期肺气提供了最少侵入性的治疗方法. 这种程序减少了肺部的膨胀,改善了患者的呼吸机制.
科学领域:
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
- 医疗器械 医疗器械
背景情况:
- 肺治疗已经进化,寻求比手术更少的侵入性选择.
- 至少侵入性肺体积减小手术 (LVRS) 替代方案对于晚期肺气至关重要.
- 胸内膜代表了对肺气的先进治疗指南.
研究的目的:
- 描述使用内支气管进行支气管镜肺体积减小 (BLVR) 的机制和结果.
- 突出BLVR作为高级肺气的关键治疗方法.
- 解释BLVR如何改善呼吸功能.
主要方法:
- 单向内支气管置于细分或子细分气道中.
- 在患病的肺部部份中诱导向的叶叶叶骨.
- 非手术,最少的侵入性方法.
主要成果:
- 成功诱导了叶状叶骨骨脱.
- 显著减少了肺部高通胀.
- 观察到腹膜曲率和外流的改善.
结论:
- 胸内膜是一种有效的微创治疗,用于晚期肺气.
- 带有门的BLVR可以减少超通胀,改善呼吸机制.
- 这种技术是指导方针推的瘤管理方案.
相关概念视频
Respiratory Volumes
1.6K
Respiratory volumes are crucial metrics, meticulously measured to quantify the air exchanged in and out of the lungs during various phases of the breathing cycle. These precise measurements are vital for assessing lung function, diagnosing respiratory conditions, and monitoring overall respiratory health. Each parameter provides specific insights into the mechanics of breathing and the functional capacity of the lungs.
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
1.6K
COPD: Management Using Bronchodilators and Corticosteroids
250
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
250
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
236
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
236
Respiratory Volumes and Capacities I
1.1K
Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
1.1K
Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
Lung Capacity
50.9K
The air in the lungs is measured in volumes and capacities. Lung volume measures reflect the amount of air taken in, released, or left over after a lung function, like a single inhalation. Lung capacity measures are sums of two or more lung volume measures.
50.9K


