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Updated: May 25, 2025

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
在小儿患者的肺瘤肺瘤肺瘤的VATS后
Nariman Mokhaberi1,2, Vasileios Vasileiadis2,3, Jan-Malte Ambs4
1Department of Pediatric Surgery, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
在视频辅助胸腔镜手术 (VATS) 后,大多数儿童的肺胸部,因为膜共,保守地解决. 随访成像应优先考虑超声波而不是X射线,以更好地管理儿科腹膜的并发症.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
背景情况:
- 细菌性肺炎通常会在儿童中引起肺部外肺流,这可能导致肺肺.
- 恩皮瘤的治疗包括抗生素,胸部排水,纤维解毒剂和视频辅助胸腔镜手术 (VATS).
- 增值税后的并发症包括肺胸病和支气管肺 (BPF).
研究的目的:
- 为了调查儿科多脉瘤的发病率和持续时间,在VATS后对儿科多脉瘤进行研究.
- 了解在外科手术期间和随访期间肺胸部进展情况.
- 为制定基于证据的标准化后续协议提供信息.
主要方法:
- 对接受VATS治疗的儿科患者进行了回顾性研究,以了解膜静脉瘤.
- 从2013年1月到2023年5月收集的数据.
- 纳入标准:在汉堡-埃潘多夫大学医学中心 (UKE) 和汉堡阿尔托纳儿童医院 (AKK) 接受治疗的患者.
主要成果:
- 47名患有肺血的患者接受了VATS.
- 肺胸炎发生在43%的患者中.
- 在出院时,55%的肺胸病仍未解决;27%的肺胸病在随访时是"空心肺胸病".
- 对于这些肺胸部,无需进行外科手术.
结论:
- 在儿科患者中,大多数VATS后的肺胸部病例可以保守地管理.
- 建议节省X射线检查和增加超声波随访.
- 持久的肺胸部可能需要进一步的胸腔镜,以切除内脏膜和BPF治疗.
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