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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.

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/c717b5831fbe/cureus-0017-00000087955-i01.jpg

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