ELVR--Bejing-2011镜下肺减容治疗.pptxVIP

14.03.2011;典型病人 patient E. Z,. 68 years Ex-smoking (50 packyears) LTOT Several rehabs FEV1: 0,7 l RV: 270 % DLCO: 23 % 6 MWT: 180 m medication: ICS/LABA anticholinergic Int. oral steroid;典型胸部X光片;Brantigan OC, Surgical treatment of emphysema. Ann Surg, 1957; 23:789-804;LVR - Mechanism of Action机械通气改善的原理;LVRS trial 外科肺减容的多中心观察结果;LVRS clinical application in the USA美国外科肺减容治疗现状;To whom do you offer LVRS ? Upper lobe-predominant emphysema by chest CT and postrehabiliation low exercise performance;;;Which patient seems to be the ideal candidate for ELVR ?推荐治疗的CT检查组（右侧两个，病变集中在上叶或下叶）;Endobronchial Val