持续空气泄漏的持续问题:管理方法
George Mundanchira1, Laura Frye2, Janani Reisenauer3
1Division of Pulmonary, Critical Care and Sleep Medicine, Northwell, New Hyde Park, New York.
Current opinion in pulmonary medicine
|December 5, 2024
概括
持续的空气泄漏对外科医生来说是一个挑战. 像密封剂和门这样的非侵入性疗法在手术不是一种选择时提供了替代方案,但需要更多的研究.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
背景情况:
- 持续空气泄漏 (PALs) 持续超过5天是一个重大的临床挑战.
- 目前的指导方针建议进行外科手术,但许多患者不是外科手术的候选人.
- 保守的管理导致长时间住院和增加发病率.
研究的目的:
- 审查用于管理持续空气泄漏的非侵入性疗法.
- 评估不适合立即手术干预的患者的替代方案.
主要方法:
- 对包括密封剂,海姆利希门,化学和自身血液斑块斑膜切除,以及支气管内膜在内的非侵入性疗法的审查.
- 评估治疗效果和患者适应性的评估.
主要成果:
- 非侵入性选择,如自身血液贴片,多发和内支气管,可能为非手术候选人管理空气泄漏提供可行的替代方案.
- 已经探索了各种密封剂和门作为潜在的治疗方法.
结论:
- 非侵袭性疗法在管理持续的空气泄漏方面表现有前途.
- 在这些治疗方法可以纳入临床指南之前,需要进一步进行比较研究.
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