双胸:罕见实体的案例报告和系统文献综述
Roshan Acharya1, Smita Kafle2, Yub Raj Sedhai3
1Division of Pulmonary and Critical Care Medicine Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.
Pulmonary medicine
|July 1, 2024
概括
双胸腔,即腔中胆汁的存在,是一种罕见的并发症. 诊断需要液与血清胆红素的比率大于1,通常在肝胆外科手术或创伤后出现.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 肺部病理学 肺部病理学
- 手术并发症 手术并发症
背景情况:
- 比洛托拉克斯被定义为腔空间内的胆汁积累,这是一个罕见的临床实体.
- 诊断通常通过肺部液与血清胆红素的比率超过1.0来确认.
研究的目的:
- 系统地审查关于双胸部的文献.
- 分析双胸的原因,诊断方法,治疗方法和结果.
主要方法:
- 通过使用PubMed,Embase,Google Scholar和CINAHL数据库进行了系统的文献审查.
- 遵循PRISMA指导方针,包括回顾性研究,案例系列,案例报告和会议摘要.
- 来自115项研究的数据被汇总在一起,用于分析膜液参数.
主要成果:
- 肺液与血清胆红素的平均比率为3.47.
- 肝胆道手术或手术和创伤伤害是最常见的原因.
- 管胸切除术是主要治疗方法,并观察到15.65%的显著死亡率,通常与潜在疾病有关.
结论:
- 在肝胆外科手术或胸部创伤后患有胸腔溢液的患者应该怀疑比洛托拉克斯.
- 早期诊断和适当的管理是至关重要的.
- 可能需要进一步的研究来改善双胸患者的治疗结果.
相关概念视频
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
Pneumothorax-I
191
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.
191
Endoscopic Studies II: Thoracocentesis
240
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
240
Flail Chest-II
162
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
162
Flail Chest-I
167
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
167
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
186
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...
186


