肺和叶片扭曲:一个叙事回顾
Julian Brouillette1, Ali Mokhtari2, Emmanuelle Papleux3
1Emergency Medicine Department and Intensive Care Department, Iris Sud Hospital, Brussels, Belgium.
Journal of thoracic disease
|December 11, 2025
概括
肺扭曲是一种罕见的肺旋转,导致亡,通常发生在手术后. 早期诊断和治疗对于降低高死亡率至关重要.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 医学评论 医学评论
背景情况:
- 肺扭曲是一种罕见的,危及生命的疾病,涉及肺或叶周围支气管支柱旋转,导致亡.
- 这种疾病往往被误诊,目前对其生理学和术前预防的了解有限.
研究的目的:
- 要总结关于肺扭动的当前文献.
- 评估当前对疾病的理解.
- 识别有关肺扭动的知识缺口.
主要方法:
- 一篇关于1985年至2024年间发表的文章的叙事评论.
- 在PubMed,谷歌学者,Cochrane图书馆,Scopus和Embase中进行了搜索.
- 从最初的92个已识别的相关文章中,包括了61个相关文章.
主要成果:
- 确定了125例肺扭伤病例,其中91例发生在术后,主要是在上叶切除后.
- 右中叶和左下叶最常受到影响.
- 关于生理学理解和术前预防肺扭伤的知识很薄弱.
结论:
- 肺扭伤很罕见,但危及生命,发病率低,误诊率高.
- 放射性成像对于诊断至关重要;治疗包括扭曲和叶片切除术.
- 加强医疗团队教育可以改善及时诊断和治疗,降低发病率和死亡率.
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