Abstract:
:Fifty-three lung masses were found in 51 (16%) of 325 patients who underwent lung volume reduction surgery. This included 11 non-small cell lung cancers and 42 benign lung masses. Eleven patients (mean age, 69.4 years) underwent a combined lung volume reduction surgery and resection of clinical stage I lung cancers (lymph node dissection with either lobectomy [3] or wedge resection [8]). There were no deaths or major complications. The average length of stay was 8.7 days. The mean FEV1 was 654 mL (21.7% predicted) preoperatively and 1,079 mL (49% predicted) postoperatively. Patients who are screened for lung volume reduction surgery should be carefully evaluated for possible lung masses. Lung volume reduction surgery allows lung cancer surgery in patients who otherwise would be considered to have physiologically inoperable disease.
journal_name
Chestjournal_title
Chestauthors
McKenna RJ Jr,Fischel RJ,Brenner M,Gelb AFdoi
10.1378/chest.110.4.885subject
Has Abstractpub_date
1996-10-01 00:00:00pages
885-8issue
4eissn
0012-3692issn
1931-3543pii
S0012-3692(15)46478-5journal_volume
110pub_type
杂志文章相关文献
CHEST文献大全abstract::The course of 357 balloon inflations performed during 38 angioplasties for single-vessel coronary artery disease was prospectively studied using continuous ECG recording. Ischemic ECG changes appeared during 91 percent of the inflations at a mean of 20 +/- 8 seconds after inflation and resolved in 97 percent of those ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.99.2.386
更新日期:1991-02-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to determine how common sleep-related desaturation with preserved awake resting pulse oximetric saturation (SpO(2)) was in a large cohort of adult cystic fibrosis (CF) patients with variable degrees of pulmonary disease. We then determined whether nocturnal desaturation could re...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.119.2.434
更新日期:2001-02-01 00:00:00
abstract::A case of acute cavitary histoplasmosis in the upper lobes is documented. The relationship of this entity to chronic cavitary histoplasmosis is discussed. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.73.1.103
更新日期:1978-01-01 00:00:00
abstract:OBJECTIVES:Physician productivity, practice expense, resource allocation, facilities, staff, and malpractice are variables in medical practice profitability. The ongoing challenge of collecting reliable and consistent data created an opportunity in 2001 for the American College of Chest Physicians (ACCP) Practice Admin...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.130.3.885
更新日期:2006-09-01 00:00:00
abstract::Two cases are presented in which a Dormia ureteral stone dislodger with straight filiform tip was used to retrieve broken central venous pressure catheters from the right side of the heart and vena cavae. It should be emphasized that this particular model is more easily passed into the vascular system and more easily ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.3.435
更新日期:1976-03-01 00:00:00
abstract::A 41-year-old woman with end-stage mitral and aortic stenosis developed the cycle of low cardiac output, peripheral vasoconstriction, increased core temperature, and cardiac decompensation. This was interrupted by core cooling utilizing iced gastric lavage. We propose that her severe hyperthermia was caused or abetted...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.72.1.107
更新日期:1977-07-01 00:00:00
abstract:BACKGROUND:Individual studies have reported widely variable rates for VTE and bleeding among hospitalized patients with coronavirus disease 2019 (COVID-19). RESEARCH QUESTION:What is the incidence of VTE and bleeding among hospitalized patients with COVID-19? METHODS:In this systematic review and meta-analysis, 15 st...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.11.005
更新日期:2020-11-17 00:00:00
abstract:STUDY OBJECTIVES:To determine patterns in asbestos-induced lung diseases found in older, less exposed workers. DESIGN:Review of a database evaluating lung function, smoking status, form of asbestos-induced lung disease, and radiograph abnormalities. SETTING:Outpatient clinic. PARTICIPANTS:A total of 3383 asbestos-ex...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.125.2.744
更新日期:2004-02-01 00:00:00
abstract:STUDY OBJECTIVES:To assess the effectiveness of pulse oximetry and radioisotope measurement of right-to-left (R-L) shunt for the early detection of pulmonary arteriovenous malformations (PAVMs) in patients with hereditary hemorrhagic telangiectasia (HHT). DESIGN:Patients with HHT had serial measurements of the followi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.115.1.109
更新日期:1999-01-01 00:00:00
abstract::Clotting abnormalities are well-recognized complications that occur with high frequency in patients suffering from underlying malignant diseases. New and highly sensitive molecular markers of hemostasis, thrombin-antithrombin III complex (TAT III), D-dimer fragments (DD), and plasmin-alpha 2-antiplasmin complex (PIC) ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.1.196
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:Ultrasound enables the visualization of pleural-based lesions with a poor correlation to specific pathology. At this time, there are no data about the diagnostic value of contrast-enhanced sonography (CES) in pleural lesions. METHODS:From August 2004 to January 2005, 25 consecutive patients with clinical sy...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.6.3894
更新日期:2005-12-01 00:00:00
abstract::Because of its greater ease and rapidity of insertion, the percutaneous intraaortic balloon in many institutions has become the primary method for implementing counterpulsation. We report the results and complications of 113 attempted procedures in a variety of clinical settings. We had a high (93.8 percent) insertion...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.82.4.422
更新日期:1982-10-01 00:00:00
abstract::The presented data suggest that PAPase may, indeed, be important in the biosynthesis of lung phospholipids. The observed increase in the specific activity of rabbit lung precedes the "surge" of phosphatidylcholine concentration and surfactant biosynthesis by at least 24 hours. In human amnionic fluid, PAPase specific ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.67.2.18s
更新日期:1975-02-01 00:00:00
abstract:BACKGROUND:Mepolizumab was the first licensed anti-IL5 monoclonal antibody for severe eosinophilic asthma (SEA). To date there are few data to confirm its efficacy in the real-world setting or assessment of baseline characteristics associated with response. RESEARCH QUESTION:How do patients with severe eosinophilic as...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.03.042
更新日期:2020-08-01 00:00:00
abstract::Tube thoracostomy is an invasive procedure that carries a risk of complications. We report a patient with liver cirrhosis, ascites and large left-sided pleural effusion, in whom a trocar type chest tube was inserted at the seventh left intercostal space in the midaxillary line. Chest roentgenogram revealed that the dr...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.1.292
更新日期:1992-07-01 00:00:00
abstract::A 42-year-old woman with an anomalous left coronary artery originating from the pulmonary artery and a fistula from the left coronary artery to the left ventricle was treated by aortocoronary bypass grafting of an autologous saphenous vein. The presence of an abundant collateral circulation and of fistulous communicat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.74.1.102
更新日期:1978-07-01 00:00:00
abstract:OBJECTIVES:We tested the hypothesis that an increase in the blood colloid osmotic pressure (COP) that is maintained during early-stage endotoxemia may decrease fluid flux across capillaries and may reduce pulmonary and multiple-organ edema. DESIGN:Prospective study. SETTINGS:Research laboratory in a hospital. SUBJEC...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.120.5.1655
更新日期:2001-11-01 00:00:00
abstract::We report three cases of organophosphate (OP) poisoning. One patient was a 19-year-old woman who drank OP compounds in an attempt at suicide. The other two patients became intoxicated on the way to the hospital during mouth-to-mouth breathing. The first patient died in the emergency department, and the other two were ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.2.740
更新日期:2002-08-01 00:00:00
abstract:STUDY OBJECTIVE:To determine if screening by specialists could reduce unnecessary test ordering and reduce costs related to diagnostic workup in patients undergoing evaluation for tuberculosis. DESIGN:Prospective evaluation of expert opinion in consecutive patients suspected of having tuberculosis. SETTING:A large mu...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.114.3.681
更新日期:1998-09-01 00:00:00
abstract:CASE PRESENTATION:A 76-year-old nonsmoking woman visiting from Honduras for the last 6 months with no known medical history originally presented to the ED complaining of abdominal pain. While in the ED, an incidental right middle lobe collapse was found on CT abdomen scan. Review of systems was positive for a chronic p...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2018.10.030
更新日期:2019-05-01 00:00:00
abstract:STUDY OBJECTIVES:Nasal polyps frequently appear in patients with cystic fibrosis (CF). The aims of this study were to focus on what problems (symptoms, endoscopic findings, and laboratory correlates) nasal polyps cause the CF patient, and how these correlate to the total health situation of this patient group. PATIENT...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.121.1.40
更新日期:2002-01-01 00:00:00
abstract::In order to assess the long-term clinical benefits of palliative Nd:YAG laser photoresection, we studied 69 patients with obstructing exophytic tracheobronchial lesions treated with this modality between Oct 25, 1984 and May 8, 1989. In 55 patients, there was greater than 75 percent restoration of the luminal caliber ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.3.581
更新日期:1990-09-01 00:00:00
abstract:BACKGROUND:Among patients awaiting cadaveric lung transplantation, patients with idiopathic interstitial pneumonia (IIP) have been demonstrated to have the highest mortality rate. Contraindications to cadaveric lung transplantation include current high-dose systemic corticosteroid therapy because it may increase airway...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.3.1364
更新日期:2005-09-01 00:00:00
abstract::This report describes the cross-sectional echocardiographic features of a left ventricular diverticulum. The echocardiographic findings are illustrated and discussed in relation to the diagnostic capabilities of this noninvasive imaging technique. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.4.544
更新日期:1976-04-01 00:00:00
abstract:BACKGROUND:Early-life stress is becoming an important determinant of immune system programming. Maternal prenatal distress is found to be associated with atopic disease in offspring but the separate effects of postnatal distress are not well-studied. RESEARCH QUESTION:Does the likelihood of asthma and atopic dermatiti...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.01.052
更新日期:2020-07-01 00:00:00
abstract::The selection of appropriate chemotherapeutic and/or radiation therapy for small cell lung cancer should be done after careful diagnosis and staging workup. A patient with small cell lung cancer is presented and explanation given for each step in diagnosis and staging. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.6_supplement.241s
更新日期:1995-06-01 00:00:00
abstract:BACKGROUND:We sought to determine the impact of OSA syndrome (OSAS) on symptoms and quality of life (QoL) among patients with posttraumatic stress disorder (PTSD). In addition, we assessed adherence and response to positive airway pressure (PAP) therapy in this population. METHODS:This was a case-controlled observatio...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.15-0693
更新日期:2016-02-01 00:00:00
abstract::Clinically apparent myocardial disease is infrequent in sarcoidosis. However, autopsy data show myocardial involvement in up to 30 percent of patients. Unexplained exertional symptomatology is a common complaint in patients with sarcoidosis. In this study, we investigated whether abnormal cardiac function might limit ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.1.44
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of deep lung insufflations on maximum insufflation capacities (MICs) and peak cough flows (PCFs) for patients with neuromuscular disease. METHOD:Forty-three patients with neuromuscular disease were trained in stacking delivered volumes of air to deep lung insufflation and were presc...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.118.1.61
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVES:To review our experience with thoracoscopy and talc poudrage during the previous 15 years with regards to efficacy, side effects, morbidity, and mortality. METHODS:Six hundred fourteen consecutive patients (58.6% female; mean age, 54.5 years) underwent thoracoscopy with talc poudrage from August 1983 to May...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.119.3.801
更新日期:2001-03-01 00:00:00