• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of bronchology & interventional pulmonology >Intrabronchial Valves for Treatment of Alveolar-Pleural Fistula in a Patient With Pneumocystis jirovecii Pneumonia
【24h】

Intrabronchial Valves for Treatment of Alveolar-Pleural Fistula in a Patient With Pneumocystis jirovecii Pneumonia

机译：支气管内瓣膜治疗吉洛威肺孢子虫肺炎患者肺泡胸膜瘘

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Alveolo-pleural fistula is a common complication of severe pulmonary infection. Some patients require long-term placement of chest tubes until spontaneous closure of the fistula takes place, whereas others require surgical intervention. We report a case of a patient with alveolo-pleural fistula secondary to Pneumocystis jirovecii pneumonia who was successfully treated with the use of intrabronchial unidirectional valves inserted using flexible bronchoscopy. Alveolo-pleural fistula (APF)-an abnormal connection between the subsegmental pulmonary parenchyma and the pleura-is a common condition encountered in the pediatric intensive care unit (PICU) and can result from necrotic pneumonia, thoracic surgery, or lung parenchymal abnormalities. APF is associated with persistent air leak and pneumothorax, often resulting in prolonged hospitalization for the affected patients. Standard therapy for APF includes evacuation of the pneumothorax using chest tube, coupled with prolonged use of water seal, intermittent suction, or Heimlich valves to minimize reaccumulation of pleural air until the APF resolves spontaneously. For some patients, surgical procedures may be required if the resolution is not achieved by the chest tube evacuation alone.
机译：肺泡胸膜瘘是严重肺部感染的常见并发症。一些患者需要长期放置胸管直到瘘管自发闭合，而其他患者则需要手术干预。我们报告了一例继发于肺孢子虫肺炎性肺炎性胸膜瘘的患者，该患者通过使用柔性支气管镜插入的支气管内单向瓣膜成功治疗。肺泡-胸膜瘘（APF）-节段性肺实质与胸膜之间的异常连接-是小儿重症监护病房（PICU）常见的疾病，可能由坏死性肺炎，胸外科手术或肺实质异常引起。 APF与持续的漏气和气胸有关，通常导致受影响患者的住院时间延长。 APF的标准疗法包括使用胸管排空气胸，并长时间使用水封，间歇吸气或Heimlich瓣膜，以最大程度地减少胸膜空气的积聚，直到APF自发消退。对于某些患者，如果仅靠胸腔抽气无法解决问题，则可能需要进行外科手术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号