术后悖论性隔膜 (POPS):对生理病理机制的全面审查
Emanuele Di Virgilio1, Paolo Basile2, Maria Cristina Carella2
1Cardiology Unit, Hospital of Corato, ASL Bari, 70033 Corato, Italy.
Journal of clinical medicine
|April 27, 2024
概括
心脏手术后的术后悖论性隔膜 (POPS) 是一种独特的疾病,没有显著的临床影响. 这篇评论探讨了POPS背后的理论,表明心室点的变化可能解释了这种运动模式.
科学领域:
- 心脏病学 心脏病学
- 心脏生理学 心脏生理学
- 外科手术的结果
背景情况:
- 腹腔间隔膜 (IVS) 对于双腹腔合和性能至关重要.
- 从生理学上讲,在静脉缩和腹缩期间,静脉缩系统的运动是对称的.
- 病理状况可能导致悖论性隔膜运动,包括心脏手术 (CS) 后.
研究的目的:
- 综合审查解释术后悖论性隔膜 (POPS) 病理基础的理论.
- 为了提供对心脏手术后的双心室运动模式的启发式解释.
主要方法:
- 在过去的五十年中,对间隔膜运动理论的文学评论.
- 对有关POPS的时间和解决方案的现有证据的分析.
- 基于心室点动态的启发式解释.
主要成果:
- POPS是一种独特的现象,在没有并发症的CS之后经常观察到.
- POPS通常不会引起显著的室腔形态功能改变或负面的临床影响.
- 有证据表明,POPS可能发生在手术期间,并随着时间的推移而消失,而不仅仅是术后.
结论:
- 关于POPS的确切机制仍在争论中.
- 一种新的解释表明,心室点中的开关可能是观察到的双心室运动模式的基础.
- 了解POPS对于解释手术后的心脏机制很重要.
相关概念视频
Pneumothorax-II
141
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:
141
Tracheostomy Decannulation
159
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
159
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.8K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.8K
Pneumothorax-I
201
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.
201
Respiratory System Abnormal Finding I: Inspection and Percussion
263
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...
263
Pneumonia III: Complications and Assessment
204
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
204


