在持续的空气泄漏中进行支气管镜治疗:叙述性审查
1Division of Pulmonary, Critical Care and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Journal of thoracic disease
|July 10, 2024
概括
持续性空气泄漏 (PAL) 是从肺部长时间泄漏的空气,通常通过支气管镜干预治疗,如内支气管,以获得更好的结果.
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
- 干预性肺病学 干预性肺病学
背景情况:
- 持续性空气泄漏 (PAL) 是肺损伤或手术后的一种严重并发症,其特点是空气长时间泄漏到腔空间.
- 常见的原因包括自发性肺胸炎,肺炎,机械通风气流创伤,胸部创伤和术后囊.
- 传统排水系统的失败需要先进的管理策略,以防止呼吸困难和增加的发病率等并发症.
研究的目的:
- 提供对持续空气泄漏 (PAL) 的全面叙事审查.
- 探索PAL的各种病因,临床影响和诊断方法.
- 检查不断变化的环境和耐火性PAL的支气管镜治疗选择的有效性.
主要方法:
- 在PubMed/MEDLINE和Scopus数据库中进行了文献搜索.
- 包括到2023年8月28日发表的研究,重点关注PAL的原因,诊断和管理.
- 关键词包括支气管镜管理,支气管,支气管内门,密封剂和自身血液斑块形.
主要成果:
- 帕尔是由于各种疾病引起的,包括肺炎,巴罗创伤,创伤和手术后并发症.
- 对于PAL,传统的排水不足,当空气泄漏持续超过5-7天时才诊断出来.
- 支气管内膜 (EBV),密封剂和自身血液贴片 (ABP) 等支气管镜技术为耐火病例提供最少入侵的有针对性的解决方案.
结论:
- 持续的空气泄漏是一个临床挑战,需要根据病因和严重程度进行个性化管理.
- 支气管镜干预措施在治疗耐火PAL方面表现出显著的有效性.
- 优化患者的结果需要早期识别,多学科合作和个性化治疗规划.
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