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使用自膨式Y形支架治疗恶性肿瘤所致的危及生命的低氧血症性呼吸衰竭

Management of malignancy-induced, life-threatening hypoxemic respiratory failure using a self-expanding Y stent.

作者信息

Ivanick Nathaniel M, Grover Harshwant, Fuhrer Gregory, Perry Yaron, Sharma Subin, Faller Julia

机构信息

Department of Thoracic Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14263, USA.

Department of Pulmonary and Critical Care, University at Buffalo, Buffalo, NY, 14203, USA.

出版信息

Respir Med Case Rep. 2022 Dec 29;42:101803. doi: 10.1016/j.rmcr.2022.101803. eCollection 2023.

DOI:10.1016/j.rmcr.2022.101803
PMID:36685086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9852953/
Abstract

We present the case of a young woman transferred to our center with acute hypoxic respiratory failure due to an obstructing subcarinal mass. We review the management and rationale of this respiratory failure at different stages of her hospital course. We describe the approach and rationale in both the intensive care unit as well as the bronchoscopy suite. Finally, we discuss how the use of a novel hybrid Y stent effectively palliated her symptoms.

摘要

我们报告了一例年轻女性因隆突下阻塞性肿物导致急性低氧性呼吸衰竭而被转至我院的病例。我们回顾了她在住院过程不同阶段该呼吸衰竭的处理方法及依据。我们描述了重症监护病房以及支气管镜检查室的处理方法及依据。最后,我们讨论了新型混合Y型支架的使用如何有效缓解了她的症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb74/9852953/dd3d18698eb7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb74/9852953/29d529d7a8b9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb74/9852953/ffafa2967089/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb74/9852953/dd3d18698eb7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb74/9852953/29d529d7a8b9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb74/9852953/ffafa2967089/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb74/9852953/dd3d18698eb7/gr3.jpg

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2
Radiologic and pathologic correlation of anterior mediastinal lesions.前纵隔病变的放射学与病理学相关性
Mediastinum. 2020 Mar 25;4:5. doi: 10.21037/med.2019.09.05. eCollection 2020.
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Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis.
Cancers (Basel). 2024 Mar 23;16(7):1258. doi: 10.3390/cancers16071258.
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Pulm Pharmacol Ther. 2020 Oct;64:101961. doi: 10.1016/j.pupt.2020.101961. Epub 2020 Oct 7.
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