自体血补片胸膜穿刺术和支气管内瓣膜用于治疗两例肺结核持续漏气。

IF 3.5 3区医学 Q2 RESPIRATORY SYSTEM

Respiration Pub Date : 2024-01-01 Epub Date: 2024-02-28 DOI:10.1159/000537992

Aida F Martinez, Zachary Tom, David W Hsia, Janine Vintch, Nathan Yee

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引用次数: 0

摘要

肺部感染（如肺结核）可导致多种胸膜并发症，包括气胸、气胸伴支气管胸膜瘘和持续性漏气。虽然一开始通常会考虑采取明确的手术干预措施，但如果患者的感染处于活动期且不适合手术治疗，这些并发症的处理就会特别具有挑战性。自体血补片胸膜穿刺术和支气管内瓣膜置入术均可有效、安全地补救持续性气漏（PALs）。活动性肺病支气管胸膜瘘导致的持续性气漏非常罕见，我们介绍了两例采用自体血补片胸膜穿刺术和支气管内瓣膜置入术治疗的病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Novel Insights from Clinical Practice Autologous Blood Patch Pleurodesis and Endobronchial Valves for Management of Persistent Air Leaks in Two Cases of Tuberculosis.

Introduction: Pulmonary infections, such as tuberculosis, can result in numerous pleural complications including empyemas, pneumothoraces with broncho-pleural fistulas, and persistent air leak (PAL). While definitive surgical interventions are often initially considered, management of these complications can be particularly challenging if a patient has an active infection and is not a surgical candidate.

Case presentation: Autologous blood patch pleurodesis and endobronchial valve placement have both been described in remedying PALs effectively and safely. PALs due to broncho-pleural fistulas in active pulmonary disease are rare, and we present two such cases that were managed with autologous blood patch pleurodesis and endobronchial valves.

Conclusion: The two cases presented illustrate the complexities of PAL management and discuss the treatment options that can be applied to individual patients.

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来源期刊

Respiration 医学-呼吸系统

CiteScore

7.30

自引率

5.40%

发文量

审稿时长

4-8 weeks

期刊介绍： ''Respiration'' brings together the results of both clinical and experimental investigations on all aspects of the respiratory system in health and disease. Clinical improvements in the diagnosis and treatment of chest and lung diseases are covered, as are the latest findings in physiology, biochemistry, pathology, immunology and pharmacology. The journal includes classic features such as editorials that accompany original articles in clinical and basic science research, reviews and letters to the editor. Further sections are: Technical Notes, The Eye Catcher, What’s Your Diagnosis?, The Opinion Corner, New Drugs in Respiratory Medicine, New Insights from Clinical Practice and Guidelines. ''Respiration'' is the official journal of the Swiss Society for Pneumology (SGP) and also home to the European Association for Bronchology and Interventional Pulmonology (EABIP), which occupies a dedicated section on Interventional Pulmonology in the journal. This modern mix of different features and a stringent peer-review process by a dedicated editorial board make ''Respiration'' a complete guide to progress in thoracic medicine.