隔膜功能障碍与手术后的肺部并发症和胸部手术患者的神经衰竭有关
Jesper Nørskov1, Søren Helbo Skaarup2, Morten Bendixen3
1Department of Cardiothoracic- and Vascular Surgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N, Denmark. Jesper050695@gmail.com.
Journal of anesthesia
|March 28, 2024
概括
胸部手术显著降低了手术侧的隔膜功能,影响了神经传导. 这种隔膜功能障碍与术后肺部并发症有关,突出显示需要进一步调查.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 神经学 神经学
背景情况:
- 常规胸部手术可能会导致严重的术后并发症.
- 隔膜功能障碍是胸部手术后的一个已知的并发症.
- 对神经传导和腹膜功能的精确影响需要进一步量化.
研究的目的:
- 为了量化腹膜功能和神经传导的术后变化.
- 为了评估在接受食道切除或肺叶切除术的患者中的这些变化.
- 为了将隔膜外流与术后肺部并发症相关联.
主要方法:
- 一项前性观察性研究,涉及40名接受胸部手术的患者.
- 隔膜功能通过超声波测量出行和加厚分数来评估.
- 通过振幅和传输延迟测量评估的神经传导.
- 在手术前和手术后3天和10-14天对胸部两侧的测量.
主要成果:
- 在手术方面观察到腹膜外流的显著减少 (p < 0.001).
- 在手术方面 (p < 0.001) 和非手术方面 (p < 0.022) 观察到神经传导 (幅度,延迟) 的显著变化.
- 后腹膜外流减少>50%与术后肺部并发症显著相关 (p < 0.001).
结论:
- 胸部手术诱导单边腹膜功能障碍和改变神经传导.
- 神经传导受到双边影响,尽管腹膜外流主要是单边的.
- 神经可能会导致腹膜功能障碍和随后的肺部并发症.
相关概念视频
Pneumothorax-II
142
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:
142
Acute Respiratory Failure-III
184
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
184
Respiratory System Abnormal Finding I: Inspection and Percussion
265
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
265
Pneumothorax-I
202
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
202
Endoscopic Studies II: Thoracocentesis
258
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...
258
Flail Chest-I
183
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
183


