He suggests that while both types of transplantation have been used with COPD lung transplantation is an imperfect solution for COPD and other diseases. He argues that a reduction of demand for lung transplants through smoking prevention programs is a better alternative to lung transplantation....
在1970年代,COPD患者的SLTx术后出现肺通气/血流比例严重失调,其原因是由于患原发性肺气肿的对侧肺的高血管阻力和高顺应性,进而导致了同种异体移植物的灌注增加,以及自体肺的通气增强,于是得出了COPD患者不适合行SLTx的假设[30]。在随后的几年中,随着同种异体移植物在再灌注后的处理得到改善,发现SLTx是可行的中期...
Aim:To evaluate the clinical results of lung volume reduction surgery(LVRS)for severe chronic obstructive pulmonary disease(COPD).Clinical material and method:From July 1996 to October 1997,7 patients with severe COPD underwent lung volume reduction surgery.The LVRS was performed unilaterally in 4 ...
Lung Volume Reduction Surgery Lung volume reduction surgery (LVRS) recently emerged as a potential surgical option for the treatment of advanced emphysema, resulting in improved pulmonary function, gas exchange, exercise tolerance, and perceived dyspnea in some, but not all, patients who undergo the...
Lung volume reduction surgery: Finding its role in the treatment of patients with severe COPDdoi:10.1080/15412550500218155PneumonectomyObjective: A clinical study was undertaken to define optimal preoperative strategies and intraoperative techniques that would result in the least morbidity and maximum...
COPD. From a clinical standpoint, measurement of lung hyperinflation is integral to the assessment of physiological impairment in individuals with COPD and can effectively be targeted for treatment. Moreover, it is now well established that lung volume reduction (deflation) provides a solid mechanistic...
14Is lung volume reduction surgery effective in the treatment of COPD? Inlung volume reduction surgery, part of the lungs is resected to reduce hyperinflation. This has beneficial effects on the mechanical action of therespiratory musclesand improveselastic recoil, which facilitates emptying of the lu...
lung-reduction surgery Lung volume reduction surgery Surgery The excision of poorly functioning peripheral areas of emphysematous lung to improve functional air-exchange and function by ↑ airway conductance, conductance to lung volume ratio, elastic recoil; LRS may be used in Pts with COPD to ...
Lung volume reduction surgery (LVRS) can improve the functional capacity of selected patients with severe emphysema. Hypothesized physiologic effects of LVRS include an improvement in right ventricular function, although this has not been investigated in detail. To help clarify this issue, we used fa...
exercise in COPD than is the extent of air trapping per se.58,59 Effect of treatment Treatment strategies A treatment that can bring about a reduction in EELV (and increase in IRV) should enable a patient to increase tidal volume more for a given effort, and thus lessen exertional dyspnoea...