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[单侧肺动脉阻断试验在支气管癌术前评估中的价值]

[Value of the test of unilateral pulmonary artery blocking in the preoperative evaluation of bronchial cancer].

作者信息

Lemoigne F, Blaive B

出版信息

J Chir (Paris). 1983 Apr;120(4):257-64.

PMID:6874752
Abstract

Results of the test of unilateral blockage of a pulmonary artery (UBPAT) were compared with those of respiratory function tests in the pre-operative investigation of 31 patients with bronchial cancer. Results were also compared with functional tolerance of patients treated by pneumonectomy. Follow-up hemodynamic explorations were performed postoperatively in eight of these patients. Values for pulmonary artery pressure obtained during the UBPAT appear to be much more discriminatory than the ventilatory parameters studied for predicting functional tolerance following pneumonectomy. Apart from some complexity in its performance this test appears to be a valid one, when associated with pulmonary angiography, for pre-operative investigation of bronchial cancer patients at high functional risk.

摘要

在对31例支气管癌患者进行术前检查时,将肺动脉单侧阻断试验(UBPAT)的结果与呼吸功能测试结果进行了比较。结果还与接受肺切除术患者的功能耐受性进行了比较。其中8例患者术后进行了随访血流动力学检查。UBPAT期间获得的肺动脉压值在预测肺切除术后的功能耐受性方面似乎比所研究的通气参数更具鉴别力。除了该测试在操作上存在一些复杂性外,当与肺血管造影相结合时,该测试似乎是一种有效的方法,可用于对功能风险较高的支气管癌患者进行术前检查。

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