在全腔肺连接后的不良事件上,心肺血管附带资产对不良事件的影响
Takuya Osawa1,2,3, Thibault Schaeffer1,2, Kristina Borgmann4
1Department of Congenital and Pediatric Heart Surgery, German Heart Center Munich, Technische Universität München, Munich, Germany.
概括
在全腔肺连接 (TCPC) 之前的风脉肺附带体 (APC) 与胆胸炎和塑性支气管炎 (PB) 有关. TCPC后的APC与蛋白质丧失肠病 (PLE) 和PB有关,可能会影响淋巴排水.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 胸部外科手术 胸部外科手术
背景情况:
- 动脉肺附带血管 (APC) 是异常的血管,可在患有先天性心脏病的患者中发展.
- 在全腔肺连接 (TCPC) 手术后,APC对结果的影响仍然不完全理解.
研究的目的:
- 评估TCPC前后APC的发生率.
- 分析APC与TCPC后不良结果之间的关联.
主要方法:
- 在1994年至2020年期间接受TCPC治疗的585名患者的回顾性分析.
- 术前和术后血管图用于检测和评估APC.
- 评估了晚期不良事件,包括死亡率,蛋白质丧失肠病 (PLE) 和塑性支气管炎 (PB).
主要成果:
- 在TCPC前的36%患者和TCPC后的14%患者中存在APC.
- 在TCPC前的APC与胸,胸腔管持续时间延长和PB相关.
- 在TCPC后的APC与PLE和PB有显著的关联,这些条件的自由度较低.
结论:
- 在TCPC之前的APC与特定的并发症有关,如胸和PB.
- 在TCPC之后的APC与PLE和PB密切相关.
- 抗血栓的存在可能会损害淋巴疏通,导致TCPC后的不良结果.
相关概念视频
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
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
225
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
225


