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肺扭转

Lung Torsion

作者信息

Sahota Ruchi J., Anjum Fatima

机构信息

Mayo Clinic Rochester

Temple University, Lewis Katz School of Medicine

Abstract

Lung torsion is a rare condition that is classically seen when there is a disruption in the thoracic cavity. Common causes of lung torsion include thoracotomy, lung transplantation, and trauma. However, spontaneous cases have also been reported. Lung torsion is a life-threatening disease that requires a timely diagnosis because lung rotation can cause vascular compromise and airway obstruction, resulting in lung tissue necrosis. With immediate management, the affected lung or pulmonary lobe can be salvaged. Overall, lung torsion has a poor prognosis due to misdiagnosis and delay in treatment. If detorsion occurs and the lung is fixed in place, then it can recover to full function. This article will review the etiology, epidemiology, clinical manifestations, diagnosis, and management of lung torsion.

摘要

肺扭转是一种罕见的病症,典型情况下见于胸腔出现紊乱时。肺扭转的常见病因包括开胸手术、肺移植和创伤。然而,也有自发性病例的报道。肺扭转是一种危及生命的疾病,需要及时诊断,因为肺的扭转会导致血管受压和气道阻塞,进而引起肺组织坏死。通过及时处理,可以挽救受影响的肺或肺叶。总体而言,由于误诊和治疗延误,肺扭转的预后较差。如果扭转得以纠正且肺固定到位,那么它可以恢复到完全功能状态。本文将综述肺扭转的病因、流行病学、临床表现、诊断和治疗。

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