在肺移植接受者中,与反复发生的肺部溢出相关的特征性风险因素
Ilana Roberts Krumm1, Katherine Malcolm2, Maya Vella3
1Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Boston, MA.
Journal of bronchology & interventional pulmonology
|November 27, 2024
概括
肺移植后临床显著的肺部溢液可以通过成像特征识别,例如更大的溢液大小,定位和圆形的脱. 胸腔液分析显示,乙氨基和单细胞增加,也预测需要重复干预.
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
- 放射学 放射学是一门学科.
背景情况:
- 胸腔溢液是肺移植后的常见并发症,影响10-26%的患者.
- 识别需要干预的显著出血的特征对于患者管理至关重要.
研究的目的:
- 探索临床和放射性预测显著的肺部输血后肺移植的临床和放射性预测.
- 为了识别与流出相关的特征,需要重复干预.
主要方法:
- 对77名肺移植接受者进行了回顾性审查,这些接受者在2012年至2022年期间接受了胸腔移植.
- 根据需要单次胸腔切除与额外干预措施的需要,患者被分为两层.
- 胸部计算机断层扫描 (CT) 扫描由一个失明的放射科医生审查.
主要成果:
- 32.5%需要一次胸腔切除; 67.5%需要额外的干预措施 (多次胸腔切除,猪尾放置或手术).
- 与重复干预相关的特征包括CT上的更大的输液大小,局部和圆形的体.
- 在需要重复干预的组中,膜液中高色素和单细胞的增加也显著增加.
结论:
- 基线成像发现 (溢出大小,局部,脱) 可以预测显著的多溢出.
- 胸腔液细胞计数 (乙酸细胞,单细胞) 可能有助于识别耐火性输液.
- 这些预测因素可以指导肺移植后的肺流的管理策略.
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