末支气管Watanabe Spigot急性肺与支气管:一个案例系列
Kento Yokota1, Takayuki Niitsu1,2, Satoshi Tanaka1
1Department of Respiratory Medicine Osaka General Medical Center Osaka Japan.
Respirology case reports
|December 18, 2025
概括
早期使用内支气管的Watanabe支气管 (EWSs) 能够有效地在急性肺炎中封闭支气管管 (BPFs). 这种最少的侵入性方法避免了化,为脆弱的患者提供了一个有希望的替代方案.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 传染性疾病 传染性疾病
背景情况:
- 带有支气管 (BPF) 的肺气呈现出持续的空气泄漏,使膜感染管理复杂化.
- 目前的治疗方法往往涉及侵入性手术,如由于排水故障而导致的窗户化.
- 在急性BPF中,早期内支气管Watanabe支气管 (EWS) 的疗效尚未得到充分证实.
研究的目的:
- 评估早期内支气管Watanabe spigot (EWS) 方法对与支气管肺 (BPF) 结合的急性 empyema 的有效性.
- 为了确定早期的EWS安置是否可以避免脆弱患者需要窗口.
主要方法:
- 由于BPF造成的急性肺和持续性空气泄漏的三名脆弱患者被前性地用早期EWS方法治疗.
- 经过排水和抗生素失败后,使用EWS进行了内支骨封闭.
- 评估了微生物学,并记录了关于停止空气泄漏和需要窗户的结果.
主要成果:
- 在所有三名患者中,EWS安置成功地实现了空气泄漏的完全停止.
- 在手术后6-26天内切除了胸腔管.
- 在所有情况下,都成功避免了 fenestration,没有观察到与设备相关的感染或迁移.
结论:
- 早期的支气管内膜Watanabe spigot (EWS) 放置是一种可行的,最少的侵入性选择,用于管理支气管支气管 (BPF) 的急性肺炎.
- 这种方法可以使患者免受更具侵入性的手术,如窗口.
- 即使在多种多种微生物感染中,EWS也有效,包括非结核性菌根菌.
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