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胸腔镜血块灌注用于肺胸中持续的空气泄漏:一系列病例和系统审查
Yash Kedia1, Manu Madan2, Rajnish Kaushik3
1Department of Pulmonary and Critical Care Medicine, VMMC and Safdarjung Hospital, New Delhi. yskedia@gmail.com.
肺胸病患者的持续性空气泄漏可以通过胸腔镜自主血补丁治疗. 这种微创的技术直接将血液灌输到泄漏部位,有效地解决空气泄漏,并使胸腔管道能够被移除.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 医疗干预 医疗干预
背景情况:
- 肺胸部持续的空气泄漏导致了患者的严重发病率.
- 医学性胸膜切除是不适合进行手术的患者的替代方案.
- 胸腔镜允许直接可视化和针对性治疗空气泄漏.
研究的目的:
- 报告关于用于持续空气泄漏的胸腔镜自主血补丁灌注的新技术.
- 为了评估这项程序在患有二次自发性肺胸的患者中的有效性.
- 对持续的空气泄漏进行胸腔镜干预的系统审查.
主要方法:
- 两个持续空气泄漏 (>7天) 的病例接受了胸腔镜检查.
- 在胸腔镜检查过程中,将50毫升的自身血液直接灌注到确定的空气泄漏部位.
- 进行了对医疗胸腔镜干预措施的系统审查.
主要成果:
- 两位患者都经历了术后空气泄漏的解决.
- 在这两种情况下,胸腔管被成功切除,肺部完全扩张.
- 系统性审查分析了针对持续的空气泄漏现有的胸腔镜干预措施.
结论:
- 胸腔镜自主血补丁是一种安全有效的治疗持续的空气泄漏.
- 这种技术提供了一种直接和有针对性的方法来管理肺胸部的空气泄漏.
- 进一步的研究可能会探索这种胸腔镜方法的更广泛应用.
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