肺中介:与87名患者的经验
Dimitrios E Magouliotis1, Ioanna Sgantzou2, Nikolaos S Salemis3
1Department of Cardiothoracic Surgery, University of Thessaly, Larissa, Greece.
Acta medica academica
|November 7, 2023
概括
自发性肺中 (SPM) 预后良好,死亡率低. 区分SPM和次要原因至关重要,因为后者可能导致严重的后果.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 紧急医疗 紧急医疗
背景情况:
- 自发性肺中 (spontaneous pneumomediastinum,简称SPM) 是一种罕见的病症,其特点是中中空气存在,没有明显的导致事件.
- 精确区分SPM和肺中介性肺炎 (PM) 的次要原因对于适当的患者管理和结果至关重要.
研究的目的:
- 为了介绍37名被诊断患有自发性肺中枢性肺炎的患者的临床经验.
- 强调区分真实SPM和次要PM的重要性,因为目前的定义可能不够.
主要方法:
- 一项回顾性,单中心研究分析了87名在2009年1月至2020年3月期间患有肺中 (PM) 的成年患者.
- 收集的数据包括人口统计数据,症状,身体症状,治疗方法,住院时间 (LOS) 和住院死亡率.
主要成果:
- 在87例PM病例中,37例是自发的 (SPM),50例是次要的.
- 二次性PM患者的肺胸部发病率较高 (58%vs. 19%),胸管安置率较高 (58%vs. 18.9%),肺溢出率较高 (18%vs. 0%),皮下肺发病率较高 (74%vs. 49%).
- 二次性PM与较长的LOS (5.3 vs. 3.9天) 和较高的死亡率 (10% vs. 0%) 相关.
结论:
- 自发性肺中是一种具有临床意义的疾病,预后良好,其特点是死亡率低,住院时间短.
- 常见的症状包括胸痛,呼吸不全和皮下肺气.
- 由于它们的潜在严重后果,迅速排除中气的次要原因至关重要.
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