相关实验视频
Updated: Jul 6, 2025

03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
726
肺切除术后术后空气泄漏的肺切除术的有效性
Norifumi Tsubokawa1, Takahiro Mimae1, Risa Ito1
1Department of Surgical Oncology, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
Journal of cardiothoracic surgery
|January 3, 2024
概括
这项研究发现,肺部外科手术后空气泄漏的早期膜切除可以缩短排水时间,与塔尔克,自身血液补丁和OK-432. 需要进一步的前性研究.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 手术瘤学手术瘤学
背景情况:
- 斑管切除术是肺部手术后管理空气泄漏的常见程序.
- 胸膜切除的最佳材料和时间仍然是持续辩论的主题.
- 这项研究的目的是评估不同膜消化剂的有效性和手术时间.
研究的目的:
- 为了比较各种多发透材料的疗效 (粉,自身血液贴片,OK-432) 对于术后的空气泄漏.
- 为了确定胸膜切开的时间是否会影响结果,特别是排水时间.
- 为优化胸腔外科手术中的胸膜切开策略提供证据.
主要方法:
- 对913名为非小细胞肺癌进行细分切除或分叶切除的患者 (2014-2021) 的回顾性审查.
- 基于胸管切除日的胸管切除疗效的分析.
- 通过不同胸膜切除材料和时间组对排水持续时间和患者特征进行比较.
主要成果:
- 在913名患者中,有86人 (9%) 需要为空气泄漏而进行胸膜切除,通常是在术后一天 (POD) 5.
- 滑石粉,自身血液贴片和OK-432在切除胸管的时间 (分别为3,3天和2天) 方面表现出相似的疗效.
- 早期的肺 (在4个POD内) 与较晚的肺 (POD5+,中位数9天) 相比,与显著更短的排水时间 (中位数7天) 相关.
结论:
- 自主血液贴片,石膏和OK-432在肺瘤治疗中的疗效相似.
- 在术后更早地进行胸膜切除术可以减少胸部排水的持续时间.
- 建议进行前性研究,以进一步验证这些发现并指导临床实践.
相关概念视频
Pneumothorax-II
155
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:
155
Pleura of the Lungs
1.9K
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...
1.9K
Pleural Effusion II: Symptoms and Management
181
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:
181
Flail Chest-II
175
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
175
Pleural Effusion I: Introduction
1.0K
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...
1.0K
Pleural Disorders: Types and Brief Description
209
The pleura is a vital part of the respiratory system. It's a double-layered membrane surrounding the lungs and lining the chest cavity. The two layers of the pleura are:
209

