预防肺切除术后长时间的空气漏

Prevention of Postoperative Prolonged Air Leak After Pulmonary Resection.

机构信息

Division of Thoracic Surgery, Department of Surgery, Boston Medical Center, Boston University School of Medicine, Surgical Education Office, 88 East Newton Street, Collamore Building, Suite C-515, Boston, MA 02118, USA. Electronic address: https://twitter.com/Psridhar127.

Division of Thoracic Surgery, Department of Surgery, Boston Medical Center, Boston University School of Medicine, Boston University, 88 East Newton Street, Collamore Building, Suite 7380, Boston, MA 02118, USA. Electronic address: https://twitter.com/vlitlemd.

出版信息

Thorac Surg Clin. 2020 Aug;30(3):305-314. doi: 10.1016/j.thorsurg.2020.04.007. Epub 2020 May 22.

DOI:10.1016/j.thorsurg.2020.04.007

PMID:32593363

Abstract

Postoperative prolonged air leaks (PALs) occur after thoracic surgery in which lung parenchyma is resected, divided, or manipulated. These air leaks can place patients at risk for intensive care unit readmissions, longer hospital length of stay, and infectious complications. Studies have been conducted to identify patients who are at risk for air leak and several methods have been examined for the prevention and treatment of PALs. A standard method of air leak prevention or treatment has not been established. This article discusses the prophylactic measures that have been studied for the prevention of PALs following lung surgery.

摘要

术后持续性肺漏气（PALs）发生于肺实质被切除、分割或操作的胸部手术后。这些漏气可能使患者有重症监护病房再入院、更长住院时间和感染并发症的风险。已经进行了研究以确定有发生漏气风险的患者，并且已经检查了几种预防和治疗 PALs 的方法。尚未建立预防或治疗 PALs 的标准方法。本文讨论了已研究用于预防肺手术后 PALs 的预防措施。