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术后肺部并发症：临床与影像学见解

Postoperative Pulmonary Complications: Clinical and Imaging Insights.

作者信息

Ufuk Furkan, Ocak İclal, Chelala Lydia, Landeras Luis

机构信息

Department of Radiology, University of Chicago Medicine, Chicago, United States

出版信息

Balkan Med J. 2025 Sep 1;42(5):405-418. doi: 10.4274/balkanmedj.galenos.2025.2025-7.135. Epub 2025 Aug 1.

DOI:10.4274/balkanmedj.galenos.2025.2025-7.135
PMID:40746192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12402958/
Abstract

Postoperative pulmonary complications (PPCs) continue to be a major cause of illness and death among surgical patients, affecting recovery and increasing healthcare expenses. This in-depth review examines the wide range of PPCs, covering infectious, inflammatory, mechanical, airway, vascular, lymphatic, and transplant-related issues. It highlights the vital function of imaging-especially computed tomography-in promptly identifying, correctly diagnosing, and managing these problems. Frequent complications like pneumonia, empyema, acute respiratory distress syndrome, atelectasis, and pulmonary embolism are covered, as well as rarer but serious conditions such as lung torsion, bronchopleural fistulas, and pseudoaneurysms. The review describes clinic signs and matches them with imaging characteristics to support diagnosis and treatment planning. It also underscores the value of a team-based approach involving surgeons, radiologists, and critical care experts to enable timely care and better patient results.

摘要

术后肺部并发症（PPCs）仍然是外科手术患者发病和死亡的主要原因，影响康复并增加医疗费用。这篇深入综述探讨了广泛的术后肺部并发症，涵盖感染、炎症、机械性、气道、血管、淋巴及移植相关问题。它强调了影像学检查，尤其是计算机断层扫描，在及时识别、正确诊断和处理这些问题方面的重要作用。文中涵盖了常见并发症，如肺炎、脓胸、急性呼吸窘迫综合征、肺不张和肺栓塞，以及罕见但严重的病症，如肺扭转、支气管胸膜瘘和假性动脉瘤。该综述描述了临床症状，并将其与影像学特征相匹配，以辅助诊断和治疗规划。它还强调了采用由外科医生、放射科医生和重症监护专家组成的团队协作方法的价值，以便实现及时治疗并改善患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63c/12402958/f7e5b947d880/BalkanMedJ-42-5-405-figure-21.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63c/12402958/b6e01ba454fb/BalkanMedJ-42-5-405-figure-10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63c/12402958/af1ded3ac099/BalkanMedJ-42-5-405-figure-11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63c/12402958/c922590d663b/BalkanMedJ-42-5-405-figure-12.jpg
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