在接受肺癌胸腔镜手术的患者中,小呼吸道功能障碍与短期的不良结果有关
Linbin Xu1, Yuanting Cai1, Shiyi He2
1Department of Respiratory and Critical Care Medicine, Key Laboratory of Respiratory Disease of Ningbo, The First Affiliated Hospital of Ningbo University, Ningbo, China; School of Medicine, Ningbo University, Ningbo, China.
Surgery
|September 8, 2023
概括
在接受胸腔镜手术的肺癌患者中,小呼吸道功能障碍与术后肺部并发症增加和更长的住院时间有关. 早期识别和管理对于更好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
- 肺部医学 肺部医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 小呼吸道功能障碍是一种常见的疾病,在肺癌手术预后中经常被忽视.
- 了解其影响对于改善胸腔镜手术后患者的治疗结果至关重要.
研究的目的:
- 调查小呼吸道功能障碍和经过胸腔镜肺癌手术的患者的术后结果之间的关联.
- 确定小呼吸道功能障碍是并发症的潜在风险因素.
主要方法:
- 对1012名接受肺癌胸腔镜手术的患者进行了回顾性队列研究.
- 用单变量,多变量和倾向性得分匹配分析来评估结果.
- 分析了包括小呼吸道功能障碍在内的临床变量,以确定与术后结果的关联.
主要成果:
- 小呼吸道功能障碍在18.7%的患者中存在,并且与术后肺部并发症的发病率较高 (16.4%与6.2%) 相联系.
- 患有小呼吸道功能障碍的患者在医院住院时间明显长 (中位数为9天与8天).
- 多变量分析证实小气道功能障碍是并发症 (OR=2.694) 和长时间停留 (β=1.045) 的独立风险因素.
结论:
- 小呼吸道功能障碍在接受胸腔镜肺癌手术的患者中显著增加了术后肺部并发症的风险.
- 它还导致长时间住院,突出其临床意义.
- 这些发现强调了评估手术候选人的小气道功能的重要性.
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
231
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...
231
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
20
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
20
Endoscopic Studies II: Thoracocentesis
323
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...
323
Pneumothorax-II
192
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:
192
Endotracheal Tube Extubation
827
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
827
Tracheostomy Decannulation
232
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
232


