目的 探討單孔胸腔鏡下前縱隔支氣管囊腫切除的治療效果。 方法 回顧性分析 2009 年 3 月至 2015 年 4 月我院 26 例前縱隔支氣管囊腫患者的臨床資料，其中男 17 例、女 9 例，平均年齡 32.4（25～51）歲。均行單孔胸腔鏡手術治療，分析其臨床癥狀、影像學特點及手術療效。 結果 本組 26 例患者平均手術時間 62.0（48～110）min，平均出血量 98.4（60～120）ml，術后平均住院時間 8.7（6～12）d。術后 25 例患者無手術并發癥，1 例術后因不配合主動咳嗽，出現肺不張及胸腔積液，給予調整胸腔引流管，加強咳嗽后恢復良好。術后平均隨訪 9.6（1～18）個月，復查 CT 均無復發。 結論 前縱隔支氣管囊腫難以根據影像學診斷，最終需術后病理檢查確診。單孔胸腔鏡手術可作為治療前縱隔支氣管囊腫首選方法。
ObjectiveTo analyze the effect of microecological preparation on digestive tract complications and nutritional status after esophageal cancer surgery.MethodsA total of 146 patients with esophageal cancer admitted to the Department of Thoracic Surgery, Renmin Hospital of Wuhan University from October 2017 to June 2019 were selected. There were 91 males and 55 females, aged 65 (61.9±8.2) years. They were randomly divided into two groups (an observation group and a control group, n=73 in each group) according to whether microecological preparation was given when they could take food one week after the surgery. Nutritional status and the incidence of gastrointestinal complications including anorexia, acid reflux, nausea, vomiting and diarrhea (≥3 times per day) in the first month after operation were compared between the two groups.ResultsThe incidence of anorexia, nausea, diarrhea (≥3 times per day), anastomotic fistula and stenosis in the observation group was lower and the index of nutritional status was higher than those in the control group within one month after the operation (all P<0.05). There was no statistically significant difference in acid reflux, vomiting, lung infection and incision infection between the two groups (all P>0.05).ConclusionMicroecological preparation can regulate gastrointestinal microecological balance, improve nutritional status, reduce the incidence of gastrointestinal complications and accelerate the postoperative rehabilitation.
Objective To investigate the changes of serum cardiac-specific troponin I (cTnI) level in patients after lung transplantation. Methods Clinical data of patients undergoing lung transplantation in our hospital from December 2016 to December 2022 were retrospectively analyzed. The relationship between postoperative serum cTnI level and clinical characteristics were explored. Results Finally 20 patients were collected, including 15 males and 5 females with an average age of (51.65±12.79) years. The serum cTnI level was significantly increased after lung transplantation. The serum cTnI reached the highest level on the first day after transplantation, and significantly decreased from the third day after transplantation. The serum cTnI levels in patients with obstructive pulmonary disease and bilateral lung transplantation were significantly higher than those in patients with restrictive pulmonary disease and unilateral lung transplantation on the day after surgery and on the first day after transplantation. Conclusion Transient myocardial injury can occur after lung transplantation, which is characterized by an abnormal increase in serum cTnI level.