预防性高压氧气治疗无症状左心室空气在CT指导肺针活检期间
Natsuki Kondo1, Shinya Suzuki2
1Emergency Medicine, Koga Community Hospital, Yaizu, JPN.
Cureus
|March 7, 2024
概括
肺活检后无症状的动脉内空气可以通过使用简短的方案,有效地治疗高压氧气疗法 (HBOT). 这种方法成功地清除了两个患者的气栓塞,防止并发症.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 血管外科 血管外科
背景情况:
- 肺针活检带有血管内气栓塞的风险,因为肺血管和气道的距离很近.
- 对于高压氧气疗法 (HBOT) 的既定方案,如美国海军治疗表 (USNTT) 6或6A,存在于症状性动脉气栓塞 (AGE).
- 然而,对于在肺部活检等手术后检测到的无症状动脉内空气,没有具体的治疗指南.
研究的目的:
- 报告使用HBOT进行肺针活检后无症状的动脉内空气的成功预防治疗.
- 评估修改后更短的HBOT协议 (USNTT 5) 在消除无AGE症状的血管内空气的疗效.
主要方法:
- 两个无症状的动脉内空气检测到肺针活检后的患者被预防性地用HBOT治疗.
- 治疗遵循USNTT 5协议,该方案比典型用于症状AGE的更短.
- 连续使用全身计算机断层扫描 (CT) 扫描来监测血管内空气的分辨率.
主要成果:
- 在这两种情况下,根据USNTT 5协议进行单次HBOT治疗,导致血管内空气完全消失.
- 案例1:一名72岁的男子在左心室和大动脉中出现空气,在4.5小时后出现解决. 案例2:一个69岁的男子在多个容器中出现了空气,第二天就出现了解决方案.
- 两位患者都没有出现任何长期并发症或后果而出院.
结论:
- 即使使用像USNTT 5这样的较短协议,HBOT也是清除无症状动脉内空气的有效方法.
- 这种方法可能有助于抑制粘附分子的表达,并防止与血管内空气相关的潜在并发症.
- 使用USNTT 5协议的预防性HBOT是一种可行的选择,用于在肺活检后管理无症状的动脉内空气.
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