Journal of Diagnostics Concepts & Practice ›› 2022, Vol. 21 ›› Issue (01): 22-31.doi: 10.16150/j.1671-2870.2022.01.006
• Guideline and consensus • Previous Articles Next Articles
Online:
2022-02-25
Published:
2022-02-25
CLC Number:
指标 | 参考范围 |
---|---|
疾病评估 | 肺动脉压力>50 mmHg 前脑钠肽>500 pg/mL 心肌蛋白:肌酸激酶、肌红蛋白、肌钙蛋白(任意升高≥2项) 心电图动态ST-T改变 恶性心律失常或心室率>100次/分 心脑血管狭窄面积>70% 癫痫持续状态严重程度评分量表(意识、发作类型、年龄、癫痫史)(Status Epilepticus Severity Score、STESS)>3分 免疫指标:抗核抗体、可溶性抗体、抗磷脂抗体、皮肌炎抗体、类风湿因子(任意阳性≥2项) |
收缩压 | >180 mmHg |
血红蛋白 | <60 g/L |
肌酐 | >200 μmol/L |
血钾 | >5.5 mmol/L |
D-二聚体 | >0.5 mg/L |
[1] | 周清华, 范亚光, 王颖, 等. 中国肺部结节分类、诊断与治疗指南(2016年版)[J]. 中国肺癌杂志, 2016, 19(12):793-798. |
Zhou Q H, fan Y G, Wang Y, et al Chinese guidelines for classification, diagnosis and treatment of pulmonary nodules (2016 Edition)[J]. Chin J Lung Cancer, 2016, 19(12):793-798. | |
[2] | 中华医学会呼吸病学分会肺癌学组, 中国肺癌防治联盟专家组. 肺结节诊治中国专家共识(2018年版)[J]. 中华结核和呼吸杂志, 2018, 41(10):763-771. |
Lung cancer group of respiratory branch of Chinese Medical Association, expert group of China lung cancer prevention and treatment alliance Chinese expert consensus on diagnosis and treatment of pulmonary nodules(2018 Edition)[J]. Chin J Tuberc Respir, 2018, 41(10): 763-771. | |
[3] |
Bai C, Choi CM, Chu CM, et al. Evaluation of Pulmonary Nodules: Clinical Practice Consensus Guidelines for Asia[J]. Chest, 2016, 150(4):877-893.
doi: 10.1016/j.chest.2016.02.650 URL |
[4] |
王璐, 洪群英. 肺结节诊治中国专家共识(2018年版)解读[J]. 中国实用内科杂志, 2019, 39(5):440-442.
doi: 10.19538/j.nk2019050111 |
Wang L, Hong Q Y. Interpretation of Chinese expert consensus on diagnosis and treatment of pulmonary nodules (2018 Edition)[J]. Chin J Pract Intern Med, 2019, 39(5): 440-442. | |
[5] | 潘良东, 王炯. CT引导下经皮肺穿刺活检术对肺小结节诊断价值[J]. 临床肺科杂志, 2020, 25(4):537-541. |
Pan L D, Wang J. Value of CT guided percutaneous lung biopsy in the diagnosis of small pulmonary nodules[J]. J Clin Lung, 2020, 25(4):537-541. | |
[6] |
Yan GW, Bhetuwal A, Yan GW, et al. A Systematic Review and Meta-Analysis of C-Arm Cone-Beam CT-Guided Percutaneous Transthoracic Needle Biopsy of Lung Nodules[J]. Pol J Radiol, 2017, 82:152-160.
doi: 10.12659/PJR.899626 URL |
[7] |
Goel MK, Kumar A, Maitra G, et al. Radial EBUS-Guided Cryobiopsy of Peripheral Lung Lesions With Flexible Bronchoscopy Without Using Guide-Sheath[J]. J Bronchology Interv Pulmonol, 2021, 28(3):184-191.
doi: 10.1097/LBR.0000000000000768 URL |
[8] |
Livi V, Paioli D, Cancellieri A, et al. Diagnosis and Molecular Profiling of Lung Cancer by Percutaneous Ultrasound-Guided Biopsy of Superficial Metastatic Sites Is Safe and Highly Effective[J]. Respiration, 2021, 100(6):515-522.
doi: 10.1159/000514316 URL |
[9] |
Portela-Oliveira E, Souza CA, Gupta A, et al. Ultrasound-guided percutaneous biopsy of thoracic lesions: high diagnostic yield and low complication rate[J]. Clin Radiol, 2021, 76(4):281-286.
doi: 10.1016/j.crad.2020.12.004 pmid: 33531160 |
[10] |
Zhang H, Guang Y, He W, et al. Ultrasound-guided percutaneous needle biopsy skill for peripheral lung lesions and complications prevention[J]. J Thorac Dis, 2020, 12(7):3697-3705.
doi: 10.21037/jtd-2019-abc-03 URL |
[11] | 王玺, 李庆云, 时国朝, 等. PET/CT在肺癌诊断与治疗决策中的应用[J]. 诊断学理论与实践, 2006, 5(2):169-171. |
Wang X, Li Q Y, Shi Guochao, et al. Application of PET/CT in diagnosis and treatment decision of lung cancer[J]. J Diagn Theory Pract, 2006, 5(2):169-171. | |
[12] |
Takai M, Izumo T, Chavez C, et al. Transbronchial needle aspiration through a guide sheath with endobronchial ultrasonography (GS-TBNA) for peripheral pulmonary lesions[J]. Ann Thorac Cardiovasc Surg, 2014, 20(1):19-25.
doi: 10.5761/atcs.oa.13-00261 URL |
[13] |
Oki M, Saka H, Ando M, et al. Ultrathin Bronchoscopy with Multimodal Devices for Peripheral Pulmonary Lesions. A Randomized Trial[J]. Am J Respir Crit Care Med, 2015, 192(4):468-476.
doi: 10.1164/rccm.201502-0205OC URL |
[14] |
Asano F, Shinagawa N, Ishida T, et al. Virtual bronchoscopic navigation improves the diagnostic yield of radial-endobronchial ultrasound for peripheral pulmonary lesions with involved bronchi on CT[J]. Intern Med, 2015, 54(9):1021-1025.
doi: 10.2169/internalmedicine.54.3497 URL |
[15] | 唐纯丽, 罗为展, 钟长镐, 等. 径向超声联合虚拟导航引导肺活检对肺外周结节的诊断价值[J]. 中华结核和呼吸杂志, 2016, 39(1):38-40. |
Tang C l, Luo W Z, Zhong C H, et al. Diagnostic value of radial ultrasound combined with virtual navigation guided lung biopsy in peripheral pulmonary nodules[J]. Chin J Tubercul Respir, 2016, 39(1):38-40. | |
[16] |
Furukawa BS, Pastis NJ, Tanner NT, et al. Comparing Pulmonary Nodule Location During Electromagnetic Bronchoscopy With Predicted Location on the Basis of Two Virtual Airway Maps at Different Phases of Respiration[J]. Chest, 2018, 153(1):181-186.
doi: S0012-3692(17)31068-1 pmid: 28629919 |
[17] |
Jiang S, Xie F, Mao X, et al. The value of navigation bronchoscopy in the diagnosis of peripheral pulmonary lesions: A meta-analysis[J]. Thorac Cancer, 2020, 11(5):1191-1201.
doi: 10.1111/1759-7714.13373 URL |
[18] |
Zheng X, Wang L, Chen J, et al. Diagnostic value of radial endobronchial ultrasonographic features in predominant solid peripheral pulmonary lesions[J]. J Thorac Dis, 2020, 12(12):7656-7665.
doi: 10.21037/jtd-2020-abpd-004 URL |
[19] |
Wang N, Ma H, Huang H, et al. Electromagnetic Navigation Bronchoscopy Combined Endobronchial Ultrasound in the Diagnosis of Lung Nodules[J]. Medicine (Baltimore), 2021, 100(3):e23979.
doi: 10.1097/MD.0000000000023979 URL |
[20] | 中华医学会呼吸病学分会, 中国肺癌防治联盟. 肺癌小样本取材相关问题的中国专家共识[J]. 中华内科杂志, 2016, 55(5):406-413. |
Respiratory Branch of Chinese Medical Association, China lung cancer prevention and treatment alliance. Consensus of Chinese experts on issues related to small sample sampling of lung cancer[J]. Chinese Journal of internal medicine, 2016,55-415. | |
[21] |
Chen W, Gao X, Tian Q, et al. A comparison of autofluorescence bronchoscopy and white light bronchoscopy in detection of lung cancer and preneoplastic lesions: a meta-analysis[J]. Lung Cancer, 2011, 73(2):183-188.
doi: 10.1016/j.lungcan.2010.12.002 URL |
[22] |
Wagh A, Ho E, Murgu S, et al. Improving diagnostic yield of navigational bronchoscopy for peripheral pulmonary lesions: a review of advancing technology[J]. J Thorac Dis, 2020, 12(12):7683-7690.
doi: 10.21037/jtd-2020-abpd-003 URL |
[23] | Xu C, Wang Y, Li L, et al. Diagnostic value of virtual bronchoscopic navigation combined with endobronchial ultrasound guided transbronchial lung biopsy for peripheral pulmonary lesions[J]. Technol Cancer Res Treat, 2021, 20:1533033821989992. |
[24] | Jiang S, Liu X, Chen J, et al. A pilot study of the ultrathin cryoprobe in the diagnosis of peripheral pulmonary ground-glass opacity lesions[J]. Transl Lung Cancer Res, 2020, 9(5):1963-1973. |
[25] | 中国抗癌协会肿瘤介入学专业委员会, 中国抗癌协会肿瘤介入学专业委员会, 胸部肿瘤诊疗专家委员会. 胸部肿瘤经皮穿刺活检中国专家共识(2020版)[J]. 中华医学杂志, 2021, 101(3):185-198. |
Committee of Interventional Oncology of China Anti Cancer Association, Committee of Interventional Oncology of China Anti Cancer Association, Expert Committee of Chest Tumor Diagnosis and Treatment. Chinese expert consensus on percutaneous biopsy of thoracic tumors (2020 Edition)[J]. Chin J Med, 2021101(3):185-198. | |
[26] |
Kuban JD, Tam AL, Huang SY, et al. The effect of needle gauge on the risk of pneumothorax and chest tube placement after percutaneous computed tomographic (CT)-guided lung biopsy[J]. Cardiovasc Intervent Radiol, 2015, 38(6):1595-1602.
doi: 10.1007/s00270-015-1097-0 URL |
[27] |
Nour-Eldin NE, Alsubhi M, Emam A, et al. Pneumothorax complicating coaxial and non-coaxial CT-guided lung biopsy: Comparative analysis of determining risk factors and management of oneumothorax in a retrospective review of 650 patients[J]. Cardiovasc Intervent Radiol, 2016, 39(2):261-270.
doi: 10.1007/s00270-015-1167-3 pmid: 26148648 |
[28] | 倪颖梦, 时国朝, 万欢英, 等. CT引导下经皮肺穿刺的安全性及其影响因素[J]. 中国呼吸与危重监护杂志, 2011, 10(2):162-167. |
Ni Y M, Shi G C, Wan H Y, et al. Safety and influencing factors of CT guided percutaneous lung puncture[J]. Chin J Respir critical care, 2011, 10(2):162-167. | |
[29] | Han Y, Kim HJ, Kong KA, et al. Diagnosis of small pulmonary lesions by transbronchial lung biopsy with radial endobronchial ultrasound and virtual bronchoscopic navigation versus CT-guided transthoracic needle biopsy: A systematic review and meta-analysis[J]. PLoS One, 2018, 13(1):e0191590. |
[30] | 王立学, 董鸿鹏, 白博锋, 等. CT引导下经皮肺穿刺活检对不同大小肺结节的诊断效能及并发症相关因素分析[J]. 放射学实践, 2020, 35(11):1409-1414. |
Wang L X, Dong H P, Bai B F, et al. CT guided percutaneous lung biopsy in the diagnosis of different sizes of pulmonary nodules and analysis of related factors of complications[J]. Radiol Pract, 2020, 35(11):1409-1414. | |
[31] |
Tai R, Dunne RM, Trotman-Dickenson B, et al. Frequency and severity of pulmonary hemorrhage in patients undergoing percutaneous CT-guided transthoracic lung biopsy: single-institution experience of 1175 cases[J]. Radiology, 2016, 279(1):287-296.
doi: 10.1148/radiol.2015150381 URL |
[32] | 中华医学会呼吸病学分会. 支气管镜诊疗操作相关大出血的预防和救治专家共识[J]. 中华结核和呼吸杂志, 2016, 39(8):588-591. |
Respiratory Branch of Chinese Medical Association Expert consensus on the prevention and treatment of massive hemorrhage related to bronchoscopic diagnosis and treatment[J]. Chin J Tubercul Respir, 2016, 39(8):588-591. | |
[33] |
Grage RA, Naveed MA, Keogh S, et al. Efficacy of a dehydrated hydrogel plug to reduce complications associated with computed tomography-guided percutaneous transthoracic needle biopsy[J]. J Thorac Imaging, 2017, 32(1):57-62.
doi: 10.1097/RTI.0000000000000247 URL |
[34] | 中华医学会呼吸病学分会介入呼吸病学学组. 成人诊断性可弯曲支气管镜检查术应用指南(2019年版)[J]. 中华结核和呼吸杂志, 2019, 42(8):573-590. |
Interventional respiratory group, respiratory branch,Chinese Medical Association. Application guide for diagnostic flexible bronchoscopy in adults(2019 Edition)[J]. Chin J Tubercul Respir, 2019, 42(8):573-590. | |
[35] |
Wang S, Tu J, Dong K. Nomogram to predict postoperative PR in patients undergoing CT-guided transthoracic lung biopsy[J]. J Thorac Dis, 2019, 11(4):1705-1713.
doi: 10.21037/jtd.2019.01.60 URL |
[36] |
van Zwam JP, Kapteijns EF, Lahey S, et al. Flexible bronchoscopy in supine or sitting position: a randomized prospective analysis of safety and patient comfort[J]. J Bronchology Interv Pulmonol, 2010, 17(1):29-32.
doi: 10.1097/LBR.0b013e3181cc3a75 URL |
[37] | 李宁, 周剑平, 李庆云. 二氧化碳监测在睡眠呼吸疾病中的应用及意义[J]. 中华结核和呼吸杂志, 2017, 40(10):782-784. |
Li N, Zhou J P, Li Q Y. Application and significance of carbon dioxide monitoring in sleep respiratory diseases[J]. Chin J Tubercul Respir, 2017, 40(10):782-784. | |
[38] | 李庆云, 李宁. 肥胖与阻塞性睡眠呼吸暂停低通气综合征—呼吸内科视角[J]. 中华肥胖与代谢病电子杂志, 2018, 4(2):80-83. |
Li Q Y, Li N. Obesity and obstructive sleep apnea hypopnea syndrome -- from the perspective of respiratory medicine[J]. Chin J Obes Metab Dis, 2018, 4(2):80-83. | |
[39] |
Hare SS, Gupta A, Goncalves AT, et al. Systemic arterial air embolism after percutaneous lung biopsy[J]. Clin Radiol, 2011, 66(7):589-596.
doi: 10.1016/j.crad.2011.03.005 pmid: 21530954 |
[40] |
Smit DR, Kleijn SA, de Voogt WG. Coronary and cerebral air embolism: a rare complication of computed tomography-guided transthoracic lung biopsy[J]. Neth Heart J, 2013, 21(10):464-466.
doi: 10.1007/s12471-013-0411-1 pmid: 23572332 |
[41] |
Veitch AM, Vanbiervliet G, Gershlick AH, et al. Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines[J]. Gut, 2016, 65(3):374-389.
doi: 10.1136/gutjnl-2015-311110 URL |
[42] |
Gordon HG, Elie AA, Mark C, et al. Managing anticoagulation and antithrombotic in the perioperative period: American College of Chest Physicians (ACCP) guidelines (9th Edition)[J]. Chest, 2012, 141(2):7-47.
doi: 10.1378/chest.1412S3 |
[43] |
Pieper M, Schmitz J, McBane R, et al. Bleeding complications following image-guided percutaneous biopsies in patients taking clopidogrel-A retrospective review[J]. J Vasc Interv Radiol, 2017, 28(1):88-93.
doi: 10.1016/j.jvir.2016.09.017 URL |
[44] |
Patel IJ, Davidson JC, Nikolic B, et al. Addendum of newer anticoagulants to the SIR consensus guideline[J]. J Vasc Interv Radiol, 2013, 24(5):641-645.
doi: 10.1016/j.jvir.2012.12.007 URL |
[45] |
Kanda H, Hirasaki Y, Iida T, et al. Perioperative management of patients with end-stage renal disease[J]. J Cardiothorac Vasc Anesth, 2017, 31(6):2251-2267.
doi: 10.1053/j.jvca.2017.04.019 URL |
[46] | 《慢性阻塞性肺疾病患者非肺部手术麻醉及围手术期管理专家共识》发布[J]. 中华医学信息导报, 2017, 32(21):9. |
Expert consensus on anesthesia and perioperative mana-gement of non pulmonary surgery in patients with chronic obstructive pulmonary disease[J]. China Med Inform Guide, 2017, 32(21):9. | |
[47] |
Slebos DJ, Shah PL, Herth FJ, et al. Endobronchial valves for endoscopic lung volume reduction: Best practice recommendations from expert panel on endoscopic lung volume reduction[J]. Respiration, 2017, 93(2):138-150.
doi: 10.1159/000453588 URL |
[48] | Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease[R/OL]. [2021-02-20]. http://gold-copd.html. |
[49] | Global Initiative for asthma[R/OL]. [2021-04-28]. http://ginaasthma.org/reports/. |
[50] |
Galetin T, Strohleit D, Magnet FS, et al. Hypercapnia in COPD patients undergoing endobronchial ultrasound under local anaesthesia and analgosedation: A prospective controlled study using continuous transcutaneous capnometry[J]. Respiration, 2021, 100(10):958-968.
doi: 10.1159/000515920 URL |
[51] |
Newman KL, Johnson KM, Cornia PB, et al. Perioperative evaluation and management of patients with cirrhosis: Risk assessment, surgical outcomes, and future directions[J]. Clin Gastroenterol Hepatol, 2020, 18(11):2398-2414.
doi: 10.1016/j.cgh.2019.07.051 URL |
[52] |
Nesković V. Preoperative assesment of the immunocompromised patient[J]. Acta Chir Iugosl, 2011, 58(2):185-192.
doi: 10.2298/ACI1102185N URL |
[53] |
Wijeysundera DN, Pearse RM, Shulman MA, et al. Assessment of functional capacity before major non-cardiac surgery: an international, prospective cohort study[J]. Lancet, 2018, 391(10140):2631-2640.
doi: S0140-6736(18)31131-0 pmid: 30070222 |
[54] | Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery[J]. Circulation, 2007, 116(2):418-500. |
[55] |
Kumar S, Nath A, Singh S, et al. An unusual complication during bronchoscopy: hypotension, global ST segment elevation, and acute severe left ventricular systolic dysfunction[J]. Respir Care, 2013, 58(9):e111-e115.
doi: 10.4187/respcare.02318 URL |
[56] |
Tateosian VS, Richman DC. Preoperative cardiac evaluation for noncardiac surgery[J]. Anesthesiol Clin, 2018, 36(4):509-521.
doi: S1932-2275(18)30070-3 pmid: 30390775 |
[57] |
Streiff MB, Holmstrom B, Angelini D, et al. NCCN guidelines insights: cancer-associated venous thromboembolic disease, version 2.2018[J]. J Natl Compr Canc Netw, 2018, 16(11):1289-1303.
doi: 10.6004/jnccn.2018.0084 URL |
[58] | Wong ML, Shi Y, Fung KZ, et al. Age, comorbidity, life expectancy, and pulmonary nodule follow-up in older veterans[J]. PLoS One, 2018, 13(7):e0200496. |
[59] |
Sinvani L, Kuriakose R, Tariq S, et al. Using Charlson Comorbidity Index to Predict Short-Term Clinical Outcomes in Hospitalized Older Adults[J]. J Healthc Qual. 2019 May/Jun; 41(3):146-153.
doi: 10.1097/JHQ.0000000000000153 pmid: 31094947 |
[60] | D′Ippolito R, Foresi A, Castagnetti C, et al. Indications for flexible fiberoptic bronchoscopy and its safety in the very elderly[J]. Monaldi Arch Chest Dis, 2007, 67(1):23-29. |
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