Berun A Abdalla, Fahmi H Kakamad, Marwan N Hassan, Asia Bahaaldeen Muhialdeen, Farman J Ahmed, Harem K Ahmed, Suhaib H Kakamad, Rawezh Q Salih, Shvan H Mohammed, Shevan M Mustafa, Diyar A Omar, Pavel Mustafa Kareem, Sabah Jalal Hasan, Yousif M Mahmood, Mohammed Q Mustafa
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引用次数: 0
摘要
摘要：长期气漏（PAL）是肺切除术后最常遇到的并发症。本综述旨在说明自体血胸膜腔穿刺术（ABPP）在治疗 PAL 中的作用。我们在 Web of Science、PubMed、MEDLINE 和 Google Scholar 上检索了截至 2023 年 9 月 15 日的英文文章，文章标题包含相关短语 "自体血胸膜腔穿刺术（ABPP）和长期气漏"。纳入的研究包括来自不同国家的四项随机对照试验、十项队列研究、一项病例系列研究和九项病例报告。接受ABPP治疗的患者平均年龄为52.7岁。胸膜腔穿刺术的自体血量各不相同（50 毫升至 250 毫升）。约73.8%的病例在1至30天内（平均3.75天）对ABPP有反应，院内并发症很少（3.9%）。胸膜腔穿刺术后的随访时间长达 20 个月。本系统综述中提供的证据支持 ABPP 作为一种有效、安全的干预措施来管理 PAL，尤其是肺切除术后的 PAL。
Role of autologous blood patch pleurodesis for management of prolonged pulmonary air leak: A systematic review.
Abstract: Prolonged air leak (PAL) represents the most commonly encountered complication following pulmonary resection. This review aims to show the role of autologous blood pleurodesis (ABPP) in the management of PAL. A search was conducted on the Web of Science, PubMed, MEDLINE, and Google Scholar for English-language articles until September 15, 2023, with titles containing the related phrase "autologous blood patch pleurodesis (ABPP), and prolonged air leaks." Included studies comprised four randomised controlled trials, ten cohort studies, a case series, and nine case reports from various countries. Patients undergoing ABPP had a mean age of 52.7 years. Autologous blood volumes for pleurodesis varied (50 mL to 250 mL). Approximately 73.8% of cases responded to ABPP in 1 to 30 days (mean 3.75 days), and in-hospital complications were infrequent (3.9%). Follow-up durations post pleurodesis were up to 20 months. The evidence presented in this systematic review supports the role of ABPP as an effective and safe intervention for managing PAL, particularly after pulmonary resection.
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