手术后神经功能障碍对肺功能参数和肺移植后长期结果的影响
Keita Nakanishi1,2, Caroline Hillebrand1, Thomas Schweiger1
1Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria.
肺移植 (LTx) 后的术后神经功能障碍 (PND) 可以延长恢复时间,但不会影响长期生存. 对于PND的隔膜折叠 (DP) 显示了早期FEV1.0的改善.
科学领域:
- 心胸外科手术 心胸外科手术
- 肺部医学 肺部医学
- 移植医学 移植医学
背景情况:
- 手术后神经功能障碍 (PND) 是肺移植 (LTx) 后的一种罕见并发症.
- 隔膜折叠 (DP) 是PND的治疗方法,但其对LTx后肺功能和生存的长期影响尚不清楚.
研究的目的:
- 调查PND和DP对LTx后肺功能和生存的长期影响.
- 为了比较 LTx 接受者与 PND (有或没有 DP) 和对照组之间的结果.
主要方法:
- 从2003年1月1日到2022年12月12日,对1400名LTx接受者的回顾性审查.
- 鉴定了25名患有PND的患者 (12人接受了DP),并与1375名对照进行了比较.
- 分析了ICU/住院时间,肺功能参数 (%TLC,%FEV1.0),以及生存率.
主要成果:
- 与对照组相比,PND显著增加了ICU和医院住院时间.
- 在LTx后的三年内,PND与较低的%TLC有关.
- 在LTx后早期,PD显示较低的FEV1.0%,后来正常化;PND没有影响长期生存率.
结论:
- PND显著影响LTx后的术后康复.
- 尽管影响恢复,但PND不会损害肺移植患者的长期生存结果.
- DP可能为FEV1.0提供早期好处,结果随着时间的推移而调整.
更多相关视频
09:54Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
Published on: August 15, 2022
06:15Author Spotlight: Investigating the Key Factors of Obliterative Bronchiolitis After Lung Transplantation
Published on: November 10, 2023
相关概念视频
Pneumothorax-II
Clinical Manifestations:
Pulmonary Function Tests
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Peripheral Artery Disease V: Postoperative Nursing Management
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
