自发的中叶扭曲:一个机构病例系列
Britton B Donato1, Marisa Sewell2, Hasan Al Harakeh1
1Department of Surgery, Mayo Clinic Arizona, Phoenix, Ariz.
JTCVS techniques
|August 9, 2023
概括
自发的中叶扭曲是肝移植后的一种罕见并发症,通常是由大排泄引起的. 在这些具有挑战性的病例中,迅速的手术干预对于成功的患者结果至关重要.
科学领域:
- 胸部外科手术 胸部外科手术
- 移植手术 移植手术
- 肺部医学 肺部医学
背景情况:
- 肋骨扭曲是一种罕见的肺部疾病,通常发生在手术后.
- 独立于切除的自发中叶扭曲非常罕见,报告的病例不到15例.
研究的目的:
- 介绍一个病例系列的两个患者与自发的中叶扭转后orthotopic肝移植.
- 审查这种罕见并发症的医疗过程,手术内技术和文献.
主要方法:
- 两名患者的病例系列接受了正管肝移植.
- 详细描述医疗管理,支气管镜检查,计算机断层扫描和手术干预 (胸腔切除术,脑腔切除术).
主要成果:
- 两位患者均出现了自发的中叶扭转,这是由于经手术后出现了大量的多叶液.
- 在这两种情况下,都进行了受影响的中叶的手术切除,导致了积极的结果.
结论:
- 自发肺叶扭曲的诊断是具有挑战性的,因为它是罕见的.
- 怀疑的高指数和及时的手术干预对于有利的患者结果至关重要.
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