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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
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非特异性肺炎:长期随访结果
Lucía Ferreiro1,2, Elisa Landín Rey1, María Carreiras Cuiña1
1Servicio de Neumología, Hospital Clínico-Universitario de Santiago, Santiago de Compostela, Spain.
Expert review of respiratory medicine
|June 15, 2024
概括
非特异性肺炎 (NSP) 往往缺乏明确的原因,大量患者患有恶性肺溢液. 对于被诊断为NSP的患者,建议进行延长的随访.
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
- 在瘤学瘤学.
背景情况:
- 非特异性肺炎 (NSP) 的病因尚不清楚.
- 胸腔活检方法对结局的影响受到争论.
- 没有确定NSP的最佳后续持续时间.
研究的目的:
- 调查NSP的不同肺部活检程序的诊断产量和临床结果.
- 为了确定NSP患者恶性多叶膜溢出发育的速度.
- 建议NSP的适当后续持续时间.
主要方法:
- 对167名患有NSP的成年患者进行了回顾性观察研究.
- 患者接受了闭合性肺部活检 (CPB),局部麻醉性肺部透视 (LAP) 或视频辅助胸部手术 (VATS).
- 诊断延迟的分析,恶性溢出的发展,以及患者的生存率.
主要成果:
- 在很大一部分患者中,没有得到确定的诊断.
- 恶性流发作在一个月内诊断的15%的病例中,总体而言是16.9%.
- 在活检类型 (CPB,LAP,VATS) 之间没有观察到恶性溢出诊断延迟的显著差异.
- 在平均12个月的随访期间,死亡率为40.7%.
结论:
- 在被诊断为NSP的患者中,很大一部分患者不会达到明确的病因,并且可能会发展出恶性肺.
- 对于NSP的诊断程序的选择似乎没有影响诊断恶性多流的延迟.
- 对于被诊断为NSP的患者,建议至少进行24个月的随访.
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