相关实验视频
Updated: Jul 19, 2025

03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
743
肺胸外科外科切除后使用超声波测定肺:一个试点研究
Wytze S de Boer1, Lars Dinjens1, Jos A Stigt1
1Department of Pulmonary Medicine, Isala Hospital, Zwolle, The Netherlands.
Journal of thoracic disease
|August 10, 2023
概括
胸部超声波可以监测手术后的多发症. 每日超声波显示,在手术后的前四天,肺部滑动和肺厚度增加,这表明肺发病的进展.
科学领域:
- 肺部病理学 肺部病理学
- 医疗成像医学成像
- 胸部外科手术 胸部外科手术
背景情况:
- 斑膜切除对于治疗肺胸部和恶性输液至关重要.
- 手术性肺切除术是一种常见的手术,但监测其成功可能具有挑战性.
- 胸部超声波为实时评估提供了一种非侵入性方法.
研究的目的:
- 评估使用胸部超声波来监测术后瘤切除术后瘤的可行性.
- 通过测量肺部滑动和胸膜加厚来评估胸膜病变的进展.
- 为了确定胸部超声波是否可以提供关于膜病变的速度和程度的见解.
主要方法:
- 预期单中心队列研究,涉及为肺胸外科手术进行肺切除术的成年患者.
- 每天进行胸部超声波检查,直到患者出院.
- 测量包括六个胸部区域的肺滑动 (分级0-2) 和肺部加厚 (分级0-2).
主要成果:
- 平均肺滑动得分从第1天的0.25增加到第4天的1.12 (P=0.002).
- 肺厚度平均得分从第1天的1.0增加到第4天的1.54 (P=0.023).
- 一小部分患者在出院前实现了完整的肺化 (最大得分).
结论:
- 胸部超声波显示,在早期的术后期,肺部滑动和胸膜厚度显著增加,这表明正在进行的胸膜化.
- 这些发现表明,胸部超声波是监测外周切除术后外周病变进展的可行工具.
- 需要进一步的研究,以优化基于超声波结果的胸管切除时间.
相关概念视频
Pneumothorax-II
197
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
197
Endoscopic Studies II: Thoracocentesis
333
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
333
Pleural Effusion I: Introduction
1.2K
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
1.2K
Pleura of the Lungs
2.1K
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
2.1K
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
Pleural Effusion II: Symptoms and Management
211
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
211

