目的:应用肺超声和SDC-1评价双侧肺移植患者血管外肺积水

Song Gao, Ding-ye Wu, Gen-Hui Chen, K. Jin, Feng Zhang, Hong-yang Xu
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引用次数: 0

摘要

目的探讨双侧肺移植术后肺血管外水严重程度评价的新方法。方法选取我院2017 ~ 2018年收治的50例双侧肺移植术后患者为研究对象。术中植入Picco,术后2小时监测EVLWI、PVPI指数。同时另一位医生进行肺部超声检查,计算B线数。超声检查后,医生用ELISA检测SDC-1水平。结果EVLWI与B-line数、SDC-1水平显著相关(RS=0.833, RS=0.747, P<0.05), PVPI与B-line数、SDC-1水平显著相关(RS=0.738, RS=0.626, P<0.05)。结论b线数目和SDC-1水平与肺血管外水有良好的相关性。两指标的结合可作为评价双侧肺移植术后肺血管外积水程度的可靠指标。关键词:双侧肺移植;EVLWI;肺超声;SCD-1
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To evaluate the extravascular lung water in patients of bilateral lung transplantation with lung ultrasonography and SDC-1
Objective The purpose of this study was to explore new method for evaluating the severity of extravascular lung water in patients after bilateral lung transplantation. Methods The study was performed in 50 patients after bilateral lung transplantation in our hospital from 2017 to 2018. Picco were implanted during the operation .Two hours after the operation, a doctor monitored the index of EVLWI and PVPI.At the same time, another doctor carried out examination of lung ultrasonography and Calculated the numbers of B line. After ultrasonography, the doctor used ELISA to determine the level of SDC-1. Results EVLWI were significantly correlated with the number of B-line and the level of SDC-1 (RS=0.833, RS=0.747, P<0.05), PVPI were significantly correlated with the number of B-line and the level of SDC-1 (RS=0.738, RS=0.626, P<0.05). Conclusion The number of B-line and the level of SDC-1 have a good correlation with extravascular lung water. The combination of the two indicators might be used as a reliable index for evaluating the degree of extravascular lung water after bilateral lung transplantation. Key words: Bilateral lung transplantation; EVLWI; Lung ultrasonography; SCD-1
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