在双边隔膜发泄管理中的生理肺评估
Fahad Arattu Thodika1, Emma E Williams1, Theodore Dassios1,2
1Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Science and Medicine, King's College London, London, UK.
Case reports in perinatal medicine
|March 5, 2025
概括
腹膜的先天双边发泄需要进行彻底的评估. 生理肺部测量有助于管理这种情况,正如卡布基综合征的一例所示.
科学领域:
- 新生儿医学 新生儿医学
- 儿科肺病学 儿科肺病学
- 临床遗传学 临床遗传学
背景情况:
- 腹膜的先天双边发泄带来了诊断上的挑战.
- 早期识别和管理对于婴儿呼吸系统健康至关重要.
研究的目的:
- 突出全面诊断评估的重要性.
- 为了强调生理肺部测量在控制腹膜发泄中的作用.
主要方法:
- 一个早产婴儿患有呼吸困难的案例介绍.
- 使用胸部放射和超声波进行隔膜评估.
- 在自发呼吸试验中使用隔膜电活动测量.
主要成果:
- 婴儿被诊断为腹膜的先天双边发泄和卡布基综合征 (KMT2D基因突变).
- 隔膜的电活动表明部分肌肉参与,使得成功的输出.
- 输出管后胸部区域测量表明严重程度与先天性隔膜相美.
结论:
- 综合性评估对于诊断腹膜发泄至关重要.
- 生理肺部测量为临床管理提供了宝贵的见解.
- 这个案例说明了隔膜电活动在指导输出管的决策中的实用性.
相关概念视频
Physical Assessment of the Respiratory Tract II: Palpation
212
Physical assessment of the respiratory tract is critical in identifying potential health issues. One key component of this assessment is palpation, a technique healthcare providers use to assess the body for abnormalities. This content explores the method of palpation in evaluating the respiratory tract, focusing on thoracic palpation and tactile fremitus.
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
212
Physical Assessment of the Respiratory Tract III: Percussion
200
The respiratory system, fundamental to life, consists of complex structures responsible for gas exchange. The percussion assessment is critical to understanding this system's health and functionality. This non-invasive assessment technique allows healthcare providers to evaluate the density or aeration of the lungs, thereby identifying potential abnormalities.
Percussion in Respiratory Assessment
Percussion evaluates underlying tissue composition with audible and tactile vibrations,...
Percussion in Respiratory Assessment
Percussion evaluates underlying tissue composition with audible and tactile vibrations,...
200
Physical Assessment of the Respiratory Tract II: Inspection
217
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
217
Assessment of Respiration
1.0K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.0K
Respiratory System Abnormal Finding I: Inspection and Percussion
195
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
195
Assessment of Ventilation II: Respiratory Depth and Rhythm
1.3K
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
1.3K


