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利用数字放射成像系统评估肺移植术后患者的通气情况并指导康复:一例病例报告。

Utilization of a Digital Radiographic Imaging System for Assessing Ventilation and Guiding Rehabilitation in a Post-lung Transplant Patient: A Case Report.

作者信息

Kanaya Akihiro, Tanaka Shoma, Takagi Hidenobu, Lukovic Elvedin, Yamauchi Masanori

机构信息

Department of Anesthesiology, Tohoku University Hospital, Sendai, JPN.

Department of Radiology, Tohoku University Hospital, Sendai, JPN.

出版信息

Cureus. 2025 Jul 14;17(7):e87955. doi: 10.7759/cureus.87955. eCollection 2025 Jul.

DOI:10.7759/cureus.87955
PMID:40673284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12266580/
Abstract

Following lung transplantation, patients frequently experience dyspnea due to ischemia-reperfusion injury, pulmonary edema, vagotomy, and diaphragmatic nerve paralysis. Dynamic digital radiography (DDR), a digital radiographic imaging system, provides dynamic visualization of lung ventilation, facilitating targeted interventions. We report a case of a patient with persistent post-transplant dyspnea who exhibited significant improvement following active rehabilitation and fluid management, guided by DDR assessments. DDR may serve as a valuable tool for early post-transplant management and long-term pulmonary monitoring.

摘要

肺移植后,患者常因缺血再灌注损伤、肺水肿、迷走神经切断术和膈神经麻痹而出现呼吸困难。动态数字放射成像(DDR)是一种数字放射成像系统,可提供肺通气的动态可视化,有助于进行有针对性的干预。我们报告了一例肺移植后持续存在呼吸困难的患者,在DDR评估的指导下,通过积极康复和液体管理后症状显著改善。DDR可能是移植后早期管理和长期肺部监测的有价值工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e3/12266580/5313f189e563/cureus-0017-00000087955-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e3/12266580/c717b5831fbe/cureus-0017-00000087955-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e3/12266580/b1bd2a6140e6/cureus-0017-00000087955-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e3/12266580/5313f189e563/cureus-0017-00000087955-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e3/12266580/c717b5831fbe/cureus-0017-00000087955-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e3/12266580/b1bd2a6140e6/cureus-0017-00000087955-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e3/12266580/5313f189e563/cureus-0017-00000087955-i03.jpg

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本文引用的文献

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Dynamic Digital Radiography (DDR) in the Diagnosis of a Diaphragm Dysfunction.动态数字射线摄影术在膈肌功能障碍诊断中的应用
Diagnostics (Basel). 2024 Dec 24;15(1):2. doi: 10.3390/diagnostics15010002.
2
Diaphragmatic palsy following lung transplantation.肺移植术后膈肌瘫痪。
Eur Respir Rev. 2024 Jul 24;33(173). doi: 10.1183/16000617.0270-2023. Print 2024 Jul.
3
Portable Dynamic Chest Radiography: Literature Review and Potential Bedside Applications.便携式动态胸部 X 光摄影:文献综述及潜在的床边应用。
Med Sci (Basel). 2024 Feb 7;12(1):10. doi: 10.3390/medsci12010010.
4
Two cases of idiopathic pulmonary fibrosis evaluated by dynamic digital radiography for diaphragmatic motion and disease progression.通过动态数字X线摄影评估膈肌运动和疾病进展的两例特发性肺纤维化病例。
Respirol Case Rep. 2024 Feb 21;12(2):e01301. doi: 10.1002/rcr2.1301. eCollection 2024 Feb.
5
Provider-Documented Dyspnea in Intensive Care Unit After Lung Transplantation.肺移植后重症监护病房中提供者记录的呼吸困难。
Transplant Proc. 2022 Oct;54(8):2337-2343. doi: 10.1016/j.transproceed.2022.08.034. Epub 2022 Sep 28.
6
Pulmonary Artery Aneurysm Diagnosed by Dynamic Digital Chest Radiography.动态数字胸部 X 射线摄影诊断肺动脉瘤。
Ann Thorac Surg. 2022 Feb;113(2):e87-e90. doi: 10.1016/j.athoracsur.2021.04.091. Epub 2021 May 20.
7
Early mobilization reduces the atelectasis and pleural effusion in patients undergoing coronary artery bypass graft surgery: A randomized clinical trial.早期活动可减少冠状动脉搭桥手术患者的肺不张和胸腔积液:一项随机临床试验。
J Vasc Nurs. 2017 Sep;35(3):141-145. doi: 10.1016/j.jvn.2017.02.001.
8
Rehabilitation in Patients before and after Lung Transplantation.肺移植患者术前及术后的康复治疗
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