医学
肺不张
吹气
麻醉
支气管镜检查
肺
外科
内科学
作者
Matej Šapina,Bojana Olujić,Tihana Nađ,Hrvoje Vinković,Zdravka Krivdić Dupan,Ines Bartulović,Krešimir Milas,Martina Kos,Dalibor Divković,Željko Zubčić,Ivan Erić
摘要
Atelectasis is a condition characterized by the collapse and nonaeration of lung regions and is considered a manifestation of an underlying disease process. The goal of atelectasis treatment is the restoration of volume loss. In the range of different treatment options, chest physiotherapy is often used as a first-line approach, and some cases require bronchoscopic interventions.In this case series, we describe a modified bronchoscopic treatment procedure using pressure-controlled bronchoscopic segmental insufflation with surfactant application.The proposed approach resulted in significant improvement of lung volume across a range of patients including massive lobar, atypical rounded atelectasis in previously healthy patients, and in a particularly challenging case involving an infant suffering from spinal muscular atrophy type I.The modified segmental insufflation-surfactant instillation technique offers a safe and promising easily implementable treatment of persistent atelectasis caused by different underlying disease processes with positive long-term outcomes.
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