Interventional Pulmonology Unit, V Monaldi Hospital, Naples.
Department of Thoracic Surgery, V Monaldi Hospital, Naples.
Monaldi Arch Chest Dis. 2021 Mar 5;91(2). doi: 10.4081/monaldi.2021.1564.
Several factors as cultural factors and social class other than biological and genetic factor can affect symptom perception in patients with malignant airway obstruction. Poor perception of dyspnoea can result in the delayed seeking of medical care so increase access to intensive care due to impeding respiratory failure. In patients issued from malignant airway obstruction, therapeutic bronchoscopy procedure can not affect the endotracheal extubation although immediate airway patency can be obtained. We reported the outcome of two patients from lower social classes admitted in intensive care and underwent emergency rigid bronchoscopy for malignant complete pulmonary atelectasis.
除了生物和遗传因素外，文化因素和社会阶层等多种因素都会影响恶性气道阻塞患者的症状感知。呼吸困难感知能力差可能导致就医延迟，从而因呼吸衰竭而增加进入重症监护病房的机会。在患有恶性气道阻塞的患者中，治疗性支气管镜检查并不能影响气管插管，尽管可以立即获得气道通畅。我们报告了两位来自较低社会阶层的患者的结果，他们因恶性全肺不张而入住重症监护病房并接受了紧急硬性支气管镜检查。
