气道崩阻碍了 bronchoscopy治疗后输管管道狭窄症患者的康复
Mingyuan Yang1, Hong Li1, Yunzhi Zhou2
1Center of Anesthesiology and Pain, Emergency General Hospital, Beijing, 100028, China.
概括
在输管后气道狭窄症 (PITS) 患者中,呼吸道不良和崩增加了术后并发症,并降低了支气管镜治疗的成功率. 这些情况与纯气管狭窄症相比,对长期结果产生负面影响.
科学领域:
- 干预性肺病学 干预性肺病学
- 呼吸系统医学 呼吸系统医学
- 胸部外科手术 胸部外科手术
背景情况:
- 呼气中心气道崩 (ECAC) 是在输管后气道狭窄 (PITS) 后的一种罕见并发症.
- 气道马拉西亚和崩对PITS预后和治疗疗效的影响仍未得到充分研究.
研究的目的:
- 评估气道不良和崩如何影响PITS患者支气管镜干预治疗的有效性.
- 为了比较PITS患者与没有呼吸道马拉西亚/崩之间的结果.
主要方法:
- 对经过支气管镜干预的PITS患者 (2014-2021) 的回顾性分析.
- 术前,术后和术后数据的记录和分析.
- 马拉西亚/崩 (MC组) 和纯狭窄症患者之间的结局的比较.
主要成果:
- 临床医疗组经历了较高的术后并发症 (低氧化,再手术,ICU入院) (P<0.05).
- 治疗后MC组的术后得分 (mMRC,KPS) 更差,治疗后狭窄度更高 (P<0.05).
- 支气管镜干预的成功率在MC组明显较低 (P<0.05).
结论:
- 在PITS患者中,气道不良或崩与外科手术期间并发症的增加有关.
- 这些情况显著降低了与纯气管狭窄相比,支气管镜干预治疗的长期治愈率.
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