University of Iowa, Department of Anesthesia, 200 Hawkins Drive, 5JCP, Iowa City, IA 52242, USA.
Ther Adv Respir Dis. 2012 Aug;6(4):239-42. doi: 10.1177/1753465812444153. Epub 2012 Apr 11.
Pulmonary alveolar proteinosis (PAP) is a rare condition caused by the excessive alveolar accumulation of surfactant proteins. The current standard of care for removing these secretions is through therapeutic whole lung lavage (WLL). We describe two successful cases of bilateral WLL involving the novel use of the Vest™ chest physiotherapy system thereby avoiding the need for extensive changes in patient position in the intraoperative period. In brief, it involves the induction of general anesthesia followed by single-lung ventilation while simultaneously performing large volume lavages on the nonventilated lung. The washout was enhanced using the Vest™ system.
肺泡蛋白沉积症（PAP）是一种由表面活性蛋白在肺泡内过度积聚引起的罕见疾病。目前，清除这些分泌物的标准治疗方法是通过治疗性全肺灌洗（WLL）。我们描述了两例成功的双侧 WLL 病例，其中涉及新型 Vest™胸部理疗系统的使用，从而避免了术中患者体位的大量改变。简而言之，它包括全身麻醉的诱导，然后进行单肺通气，同时对未通气的肺进行大容量灌洗。使用 Vest™系统增强了冲洗效果。
