一个逐步的方法来管理来自cisterna chyli创伤的双边胆胸
Vincent Phan1, Syed H Ali1, Brady Olson2
1Department of Internal Medicine, University of Texas at Austin Dell Medical School, Austin, TX, USA.
Respiratory medicine case reports
|May 7, 2025
概括
胸,一种罕见的胸喷液,可能具有挑战性管理. 这一案例展示了视频辅助的胸腔镜手术,使用滑石斑膜治疗,在癌手术后有效治疗了耐火性胆胸.
科学领域:
- 医学 医学 医学 医学 医学
- 手术 手术 手术 术 术
- 在瘤学瘤学.
背景情况:
- 胸是一种罕见但严重的并发症,涉及到胸积聚在胸空间.
- 它可以导致严重的呼吸道损害和营养不足.
- 手术后的胸,特别是经过广泛的手术后,如淋巴结解剖的肺切除术,会带来管理挑战.
研究的目的:
- 在细胞癌手术后呈现双边高输出胆胸部病例.
- 讨论处理耐火性胆胸的诊断和治疗方面的挑战.
- 为了突出视频辅助胸腔镜手术 (VATS) 在耐火病例中的效果.
主要方法:
- 一名53岁的男性患者双边高输出胆胸部经切除术和淋巴结解剖后进行了管理.
- 保守措施包括无脂肪饮食,全方位肠道营养和八胺.
- 干预程序涉及淋巴血管学,栓塞,水瓶菌化,并最终使用塔尔克斑膜化进行VATS.
主要成果:
- 保守的管理和干预程序未能控制高产量 (>1L/天).
- 淋巴管学检查发现胸腔管道泄漏,但栓塞和窗没有成功.
- 视频辅助胸腔镜手术 (VATS) 带有滑石斑术导致胆胸部的完全解决.
结论:
- 耐火性胆胸需要一个多学科和阶段性管理方法.
- 当保守和不那么侵袭的方法失败时,VATS与滑石斑是有效的治疗选择.
- 这一案例凸显了在瘤外科手术后持续性胆胸外科手术时考虑手术干预的重要性.
相关概念视频
Endoscopic Studies II: Thoracocentesis
178
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
178
Flail Chest-II
141
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
141
Pneumothorax-II
106
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
106
Tracheostomy Suctioning I: Pre-Procedural Steps
277
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
277
Tracheostomy Suctioning II: Procedure
116
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
116
Tracheostomy: Procedure and Tubes
223
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
223

