在窗口内血管大动脉修复后非手术性肺上皮膜 - 病例报告
George Apostolidis1, Giuseppe Panuccio1, Petroula Nana1
1German Aortic Centre, Department of Vascular Medicine, University Heart and Vascular Centre UKE Hamburg, Hamburg, Germany.
Vascular and endovascular surgery
|February 24, 2026
概括
经过窗体内血管大动脉修复 (fEVAR) 后的术后肺膜可能发生在没有胃肠穿孔的情况下,可能是由于机械通风. 在某些特定情况下,观察和等待方法可能是合适的.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 手术后的肺上通常表明胃肠道穿孔.
- 非手术原因,包括机械通风,不太常见,但已得到认可.
- 窗口内血管大动脉修复 (fEVAR) 是复杂的大动脉动脉瘤的先进治疗方法.
研究的目的:
- 报告一个罕见的非手术性肺上皮膜病例后fEVAR.
- 突出考虑胃肠道穿孔以外的其他病因的重要性.
- 讨论后fEVAR环境中的诊断和管理影响.
主要方法:
- 一个病例报告,一名79岁的女性正在接受fEVAR治疗,因为她患有右侧腹腔大动脉动脉瘤.
- 手术前的计算机断层扫描血管图 (CTA) 确定了一个腹膜.
- 手术后成像 (CTA) 揭示了肺上和肺中;进行了探索性腹腔镜和胃双胞胎镜.
主要成果:
- 进行了成功的fEVAR,但在术后检测出了显著的肺和肺中.
- 在探索性腹腔镜检查和胃双镜检查期间没有发现胃肠孔的证据.
- 患者出现了轻微的腹部疼痛和高C反应蛋白 (CRP).
结论:
- 在fEVAR之后,可能会出现非手术性肺,可能与机械通风和气泡膜损伤有关.
- 临床背景和成像发现对于准确的诊断至关重要.
- 一个最初的"观察和等待"策略可能是合适的,避免不必要的手术干预.
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