患有或没有非可扩张肺的患者中患者报告的结果 - - 恶性到恶性肺部溢出 - - 一个单中心的观察性研究
Jesper Koefod Petersen1,2, Katrine Fjaellegaard1,2, Daniel Bech Rasmussen1,2
1Respiratory Research Unit PLUZ, Department of Internal and Respiratory Medicine, Zealand University Hospitals, Roskilde and Næstved, 4000 Roskilde, Denmark.
Diagnostics (Basel, Switzerland)
|June 19, 2024
概括
患有恶性肺 (MPE) 和非扩展性肺 (NEL) 的患者与扩展性肺患者相比,没有报告更糟糕的症状或生活质量. 这一发现表明,NEL对MPE患者的日常生活症状负担没有显著影响.
科学领域:
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
- 胸部医学 胸部医学
背景情况:
- 恶性肺 (MPE) 影响高达15%的癌症患者,非扩展性肺 (NEL) 导致高达30%的病例复杂化.
- 在MPE患者中,NEL对日常生活症状负担的影响尚不清楚.
研究的目的:
- 为了比较MPE患者的症状负担和与健康相关的生活质量 (HRQoL),有和没有NEL.
- 调查NEL是否影响MPE中患者报告的结果.
主要方法:
- 对43名连续招募的MPE患者进行观察性研究.
- 收集了患者报告的结果,包括ESAS,EQ-5D-5L和呼吸障碍得分在胸腔切除前后.
- 诊断的NEL基于放射学和临床信息,由胸腔专家.
主要成果:
- 12名患者 (28%) 患有NEL;在NEL和非NEL组之间,人口和临床特征是可比的.
- 在患有和没有NEL (0.836与0.806) 的患者之间,没有观察到EQ-5D-5L效用得分的显著差异.
- 症状负担和HRQoL在两组中都相似,表明由于NEL而增加的症状负担没有增加.
结论:
- 虽然NEL影响了复发性MPE的临床管理,但它似乎没有增加整体症状负担.
- 患者报告的关于日常生活活动的结果不会受到MPE患者中NEL存在的显著影响.
相关概念视频
Pleural Effusion II: Symptoms and Management
165
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
165
Pneumothorax-II
139
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:
139
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
187
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
187
Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.1K
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
Pleura of the Lungs
1.8K
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
1.8K


