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Pulmonale Funktionsdiagnostik in Der Lungenchirurgie: Möglichkeiten Und Grenzen Invasiver Maßnahmen
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ISBN10: 3662128551
ISBN13: 9783662128558
Publisher: Springer Nature
Published: Apr 16 2014
Pages: 182
Weight: 0.72
Height: 0.42 Width: 6.69 Depth: 9.61
Language: German
ISBN13: 9783662128558
Publisher: Springer Nature
Published: Apr 16 2014
Pages: 182
Weight: 0.72
Height: 0.42 Width: 6.69 Depth: 9.61
Language: German
The best of all pulmonary function tests is the operation itself. Björkman 1953 Noch vor drei Jahrzehnten lie sich die Situation der Funktionsdiagnostik mit einem solchen Satz treffend darstellen. Mit dem immer häufiger auftretenden Bronchial- karzinom und dem damit verbundenen Anstieg lungenchirurgischer Eingriffe ge- wann jedoch die präoperative Funktionsdiagnostik einen völlig neuen Stellenwert. Ihre Aufgabe in der chirurgischen und endoskopischen Pneumologie ist es, Risiko- patienten zu identifizieren und sie einer speziellen präoperativen Therapie, einer möglichst schonenden Anästhesie, selektiver Chirurgie und gezielter Nachsorge zu- zuführen. Die pulmonale Funktionsdiagnostik wurde von der schnellen Entwicklung der Me - technik erheblich beeinflu t. Anfangs war sie durch einen gro en Investitions-und Bedienungsaufwand belastet, heute gilt es jedoch Lösungswege aufzuzeigen, die zur Entwicklung einfacher und schneller Verfahren führen - Verfahren, die eine exakte funktionelle Beurteilung und besonders bettseitige Anwendung gestatten. Damit sollte auch eine differenzierte Diagnostik der frühen postoperativen oder postendo- skopischen Phase möglich sein. Die in Frage kommenden Methoden müssen folgende Bedingungen erfüllen: Sie sollen einfache interpretierbare Me werte liefern, kostengünstig, überall durchführ- bar, genügend empfindlich, gut reproduzierbar und vergleichbar sein. Wir haben uns deshalb in diesem Buch die Aufgabe gestellt, die verfügbaren Verfahren auf ihre Brauchbarkeit zur Quantifizierung der pulmonalen Insuffizienz zu prüfen und eine Wertung zu erarbeiten.
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