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肺活检术在急性呼吸窘迫综合征中的应用及展望
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作者 何倩 王业 《华西医学》 CAS 2023年第1期12-17,共6页
急性呼吸窘迫综合征是一种由多种原因引起的、以顽固性低氧血症为显著特征的临床综合征,其病因复杂多样,病死率高。肺活检技术可给予此类患者精确的组织病理学诊断以指导治疗并改善预后。目前肺活检技术包括手术肺活检、经支气管冷冻肺... 急性呼吸窘迫综合征是一种由多种原因引起的、以顽固性低氧血症为显著特征的临床综合征,其病因复杂多样,病死率高。肺活检技术可给予此类患者精确的组织病理学诊断以指导治疗并改善预后。目前肺活检技术包括手术肺活检、经支气管冷冻肺活检、经支气管镜肺活检、经皮穿刺肺活检等。手术肺活检诊断率高,但创伤大,实施难度高;经支气管冷冻肺活检诊断率相对高,并发症可接受;经支气管镜肺活检创伤小但诊断率偏低;经皮穿刺肺活检诊断率较高,并发症相对少。对于需行肺活检的急性呼吸窘迫综合征患者,根据不同术式的有效性、安全性以及适用情况进行选择十分重要。 展开更多
关键词 急性呼吸窘迫综合征 手术肺活检 经支气管冷冻 经支气管镜 经皮穿刺
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Primary tuberculous infection of breast:experiences of surgical resection for aged patients and review of literature 被引量:5
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作者 LUH Shi-ping HSU Jeng-dong LAI Yih-shyong 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2007年第8期580-583,共4页
Primary mammary tuberculosis is a rare entity that usually occurs in female of reproductive age. Herein three such patients including two males with ages over 80 years, who underwent surgical resection, are reported. ... Primary mammary tuberculosis is a rare entity that usually occurs in female of reproductive age. Herein three such patients including two males with ages over 80 years, who underwent surgical resection, are reported. Fine needle biopsy failed to achieve specific diagnosis before surgical operation. All of their conditions got satisfactory improvement and anti-tuberculosis chemotherapy was administered postoperatively. Previous literature related to the epidemiology, diagnosis and treatment for mammary tuberculosis will be also reviewed. Mammary tuberculosis is usually related to breast feeding women and is extremely rare in aged man. The possible mechanisms resulting in this disease in our three patients, including direct extension, reactivation, or transmitted by staffs or peers of the nursing home, would also be discussed. 展开更多
关键词 TUBERCULOSIS BREAST BIOPSY RESECTION
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