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使用快速输注系统进行全肺灌洗治疗肺泡蛋白沉积症患者。

Whole lung lavage using a rapid infusion system to treat a patient with pulmonary alveolar proteinosis.

作者信息

Ra Seung Won, Park Soon Eun, Lee Hyung Kwan, Han Il Sang, Park Se Hun

机构信息

Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

Department of Anesthesiology and Pain Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

出版信息

Yeungnam Univ J Med. 2020 Jan;37(1):67-72. doi: 10.12701/yujm.2019.00360. Epub 2019 Oct 17.

DOI:10.12701/yujm.2019.00360
PMID:31661750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6986965/
Abstract

Whole lung lavage (WLL) is a therapeutic procedure to remove accumulated material by infusing and draining the lungs with lavage fluid. This procedure has been regarded as the current standard of care to treat pulmonary alveolar proteinosis. However, the WLL protocol has not yet been standardized and the technique has been refined and modified a number of times. A rapid infusion system is a device used to infuse blood or other fluids at precise rates and normothermic conditions. This device is not typically used in WLL, which relies on the passive infusion of fluids using the gravitational force. However, in this study we performed WLL using a rapid infusion system, since we aimed to take advantage of its shorter operation time and greater degree of control over fluid volume and temperature. The patient's symptoms improved without the occurrence of any complications.

摘要

全肺灌洗(WLL)是一种通过向肺部注入灌洗液并排出以清除积聚物质的治疗方法。该方法被视为治疗肺泡蛋白沉积症的当前护理标准。然而,WLL方案尚未标准化,该技术已多次改进和修改。快速输液系统是一种用于在精确速率和常温条件下输注血液或其他液体的设备。该设备通常不用于WLL,WLL依靠重力被动输注液体。然而,在本研究中,我们使用快速输液系统进行WLL,因为我们旨在利用其较短的操作时间以及对液体量和温度的更大控制程度。患者症状改善,且未出现任何并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a2/6986965/cce56f16d228/yujm-2019-00360f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a2/6986965/42503a25e313/yujm-2019-00360f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a2/6986965/f7c51493cd16/yujm-2019-00360f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a2/6986965/82086127f0d3/yujm-2019-00360f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a2/6986965/cce56f16d228/yujm-2019-00360f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a2/6986965/42503a25e313/yujm-2019-00360f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a2/6986965/f7c51493cd16/yujm-2019-00360f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a2/6986965/82086127f0d3/yujm-2019-00360f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a2/6986965/cce56f16d228/yujm-2019-00360f4.jpg

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Whole lung lavage therapy for pulmonary alveolar proteinosis: a global survey of current practices and procedures.肺泡蛋白沉积症的全肺灌洗治疗:当前实践与操作的全球调查
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