支气管镜肺体积减小后的肺叶扭转与内支气管:一个病例报告
Respiration; international review of thoracic diseases
|January 23, 2026
概括
肺叶扭曲是使用内支气管 (EBV) 进行支气管镜肺体积减小 (BLVR) 后的一种罕见并发症. 对于在BLVR后出现新症状的患者来说,意识和及时干预至关重要.
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
- 医疗器械并发症 医疗器械并发症
背景情况:
- 使用内支气管 (EBVs) 进行支气管镜肺体积减小 (BLVR) 提供了对严重肺气的最小侵入性治疗方法.
- 虽然通常是安全的,但可能会出现罕见的并发症,需要持续保持警.
- 肺叶扭曲是胸部手术的已知并发症,在BLVR后以前没有记录过.
研究的目的:
- 报告第一个肺叶扭曲的病例,该病例发生在肺内支气治疗后.
- 突出由于非特异性或误导性症状导致诊断延迟的可能性.
- 强调对这种罕见并发症的临床意识和及时干预的重要性.
主要方法:
- 一份病例报告,一名70岁的COPD妇女接受了EBV安置.
- 患者在手术后15个月出现症状,最初的诊断是错误的.
- 通过成像检查确认了右上叶扭曲的诊断,并且需要紧急的手术 (胸腔切除和脑叶切除).
主要成果:
- 患者表现为胃上部疼痛,血和呼吸困难.
- 图像显示右上叶扭曲,最初被误认为是肺炎.
- 组织病理学证实了带有缺血性亡的叶片扭曲.
结论:
- 这是第一个在内支气治疗后报告的肺叶扭曲病例.
- 非特异性或误导性症状可能会延迟诊断,这强调了临床医生意识的必要性.
- 通过成像检查及早诊断和及时的手术干预对于管理这种危及生命的并发症至关重要.
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