使用单向肺内膜来减少肺气的肺体积:一个澳大利亚队列
Calvin Sidhu1,2, Nicholas Wilsmore1,3, Narinder Shargill4
1Respiratory Department, Eastern Health, Victoria, Australia.
Medicine
|August 6, 2023
概括
使用单向肺内膜 (EBV) 进行内镜肺体积减小,通过减少气体捕获和高通胀,有效治疗肺气. 这种安全的手术可显著改善精选患者的肺功能和生活质量.
科学领域:
- 肺部病理学 肺部病理学
- 干预性支气管镜检查是一种干预性支气管镜检查.
- 呼吸系统医学 呼吸系统医学
背景情况:
- 肺疹会导致衰弱的气体捕获和超通胀,影响生活质量和生存.
- 肺体积减小手术 (LVR) 提供了好处,但具有很高的风险.
- 胸内膜 (EBV) 提供了一种成熟的,不那么侵入性的LVR替代方案.
研究的目的:
- 评估使用Pulmonx Zephyr EBVs在严重肺气患者内镜肺体积减小 (ELVR) 的安全性和有效性.
- 评估ELVR后肺功能和临床结果的改善.
主要方法:
- 一项双中心回顾性队列研究包括39名症状严重肺气患者.
- 患者使用Zephyr EBVs进行ELVR,通过成像和V / Q光学扫描进行标叶选择.
- 评估的结果包括肺功能 (FEV1,RV),临床成功和并发症.
主要成果:
- 平均FEV1改善了140毫升,57%的人获得了临床上重要的增加.
- 平均VR降低了1010毫升,其中69%的患者实现了临床上重要的减少.
- 临床医生确定的成功率为78%,没有与手术相关的死亡率. 肺胸发生在36.5%的人群中.
结论:
- 用EBV进行内镜肺体积减小是严重肺气的安全有效治疗方法.
- 通过减少气体捕获和超通胀,ELVR显著改善了肺功能.
- 肺胸炎是一种值得注意的并发症,需要仔细监测和管理.
相关概念视频
Respiratory Volumes
1.5K
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...
1.5K
COPD: Management Using Bronchodilators and Corticosteroids
244
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...
244
Factors Affecting Pulmonary Ventilation
1.4K
Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
1.4K
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
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
234
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...
234
Respiratory Volumes and Capacities
2.2K
The respiratory system is responsible for the intake of oxygen and the expulsion of carbon dioxide from the body. Respiratory volumes describe the volume of air in the lungs at different phases of the respiratory cycle. Tidal volume is the air breathed in and out during normal, quiet breathing. Inspiratory reserve volume is the air that can be forcefully inspired beyond the tidal volume. In contrast, expiratory reserve volume refers to the air that can be expelled from the lungs after a normal...
2.2K


