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医疗器械相关的肺损伤

Lung lesions related with medical devices

作者: 王涵  杨柳  杨敏一  曾行  孟珠  王召旭  王春仁  付海洋 
单位:中国食品药品检定研究院(北京102629) <p>中国药科大学(南京 211198)<br />通信作者:付海洋。E-mail:fuhaiyangnifdc@163.com</p>
关键词: 医疗器械;肺;损伤;安全性 
分类号:R318.6
出版年·卷·期(页码):2022·41·6(639-644)
摘要:

医疗器械的广泛使用对人体健康发挥巨大作用,但是在有些情况下也会引起肺损伤,有些损伤甚至是不可逆的。病理学家、临床医生以及相关的研究者需要对医疗器械相关的肺损伤有所认识。本文对常用医疗器械所致的肺损伤的临床表现、可能机制及预防措施进行归纳与总结,以期为相关人员提供参考。与肺损伤相关的医疗器械包括放射治疗器械、体外循环和透析器械、呼吸医疗器械、心血管植入医疗器械、注射整形用医疗器械、骨科填充医疗器械等。然而,医疗器械产品种类繁多且发展迅速,本文并不能完全概括医疗器械产品相关的肺损伤。

Medical devices are widely used and play a great role in human health. But in some cases, medical devices can cause lung lesions. Furthermore, some lesions are reversible while the others are irreversible. It is important that pathologists, clinicians and related researchers are aware of the lesions related with medical devices. In this paper, the clinical manifestations, possible mechanisms and preventive measures of lung injury caused by commonly used medical devices were summarized and concluded, in order to provide reference for relevant personnel. Medical devices related with lung lesions include radiotherapy devices, extracorporeal circulation and dialysis devices, respiratory medical devices, cardiovascular implants, medical devices for injection plastic surgery, orthopedic filler medical devices, etc. However, due to the wide variety and rapid development of medical devices, this paper could not fully summarize all the lung lesions related with medical devices.

参考文献:

[1] 高雅. 新医改背景下我国医疗器械行业发展的思考[J]. 中国医疗器械信息, 2022, 28(7): 46-48.
Gao Y. Thoughts on the development of medical device industry in China under the background of new medical reform[J]. China Medical Device Information,2022,28(7): 46-48..
[2] 高伟, 李文志. 体外循环肺损伤的保护性策略[J]. 国际麻醉学与复苏杂志, 2019, 40(8): 714-719.
Gao W, Li WZ. The protective strategies for lung injury induced by cardiopulmonary bypass[J]. International Journal of Anesthesiology and Resuscitation, 2019, 40(8): 714-719.
[3] 姜涛, 王瑞彬, 霍枫. 用于体外循环装置的材料涂层技术综述与展望[J]. 材料导报, 2018, 32(13): 2304-2310, 2328.
Jiang T, Wang RB, Huo F. The review and prospect of cardiopulmonary bypass coating materials [J]. Materials Reports, 2018, 32(13): 2304-2310, 2328.
[4] 郑坤, 张红. 体外循环肺损伤机制与肺保护策略的研究进展[J]. 中国医药导报, 2016, 13(35): 32-35.
Zheng K, Zang H. Research progress of lung injury and lung protective strategies by cardiopulmonary bypass[J]. China Medical Herald, 2016, 13(35): 32-35.
[5] 杨立峰, 柯军, 颜林,等. 血液透析器的生物相容性研究及其临床应用现状[J]. 临床医学工程, 2012, 19(2): 320-322.
Yang LF, Ke J, Yan L, et al. Biocompatibility of hemodialyzers and clinical application[J]. Clinical Medical & Engineering, 2012, 19(2): 320-322.
[6] Itoh H, Ichiba S, Ujike Y, et al. A prospective randomized trial comparing the clinical effectiveness and biocompatibility of heparin-coated circuits and PMEA-coated circuits in pediatric cardiopulmonary bypass[J]. Perfusion, 2016, 31(3): 247-254.
[7] Hasegawa T, Oshima Y, Yokoyama S, et al. Clinical application of a new ternary polymer, SEC-1 coat for pediatric cardiopulmonary bypass circuits: a prospective randomized pilot study[J]. Perfusion, 2020, 35(8): 826-832.
[8] 夏露露. 放射性肺损伤及康复研究进展[J]. 临床与病理杂志, 2019, 39(6): 1342-1348.
Xia LL. Research progress in radiation-induced lung injury and rehabilitation[J]. ?International Journal of Pathology and Clinical Medicine, 2019, 39(6): 1342-1348.
[9] Denney L, Byrne AJ, Shea TJ, et al. Pulmonary epithelial cell-derived cytokine TGF-β1 is a critical cofactor for enhanced innate lymphoid cell function[J]. Immunity, 2015, 43(5): 945-958.
[10] Groves AM, Johnston CJ, Williams JP, et al. Role of infiltrating monocytes in the development of radiation-induced pulmonary fibrosis[J]. Radiation Research, 2018,189(3): 300-311.
[11] 姬巍. 放射性肺损伤的临床及实验室研究[D]. 北京:中国协和医科大学, 2008.
Ji W. Clinical and laboratory study on risk factors predicting radiation pneumonitis [J]. Beijing: Peking Union Medical College, 2008.
[12] 杨依依,姚尚龙,尚游. 呼吸机相关性肺损伤发病机制研究新进展[J]. 中华危重病急救医学, 2016, 28(9):861-864.
Yang YY, Yao SL, Shang Y. New progress of pathogenesis in ventilator-induced lung injury [J]. Chinese Critical Care Medicine, 2016, 28(9):861-864.
[13] Katira BH. Ventilator-induced lung injury: classic and novel concepts[J]. Respiratory Care, 2019,64(6): 629-637.
[14] Frank JA, Matthay MA. Science review: mechanisms of ventilator-induced injury[J]. Critical Care, 2003, 7(3): 233-241.
[15] Komoda S, Ozawa H, Yuasa T. Hydrophilic polymer embolism in the lung as an adverse event-autopsy case of thromboembolisms in multiple organs associated with heparin-induced thrombocytopenia[J]. Circulation Journal, 2018, 82(2): 606-607.
[16] Allan RW, Alnuaimat H, Edwards WD, et al. Embolization of hydrophilic catheter coating to the lungs: report of a case mimicking granulomatous vasculitis[J]. American Journal of Clinical Pathology, 2009, 132(5): 794-797.
[17] Mehta RI, Mehta RI, Solis OE, et al. Hydrophilic polymer emboli: an under-recognized iatrogenic cause of ischemia and infarct[J]. Modern Pathology, 2010, 23(7): 921-930.
[18] Rapkiewicz A, Hood B, Hutchins K. Fatal case of hydrophilic polymer emboli[J]. Journal of Forensic Sciences, 2016,61(S1): S268-S270.
[19] Mehta RI, Mehta RI, Choi JM, et al. Hydrophilic polymer embolism and associated vasculopathy of the lung: prevalence in a retrospective autopsy study[J]. Human Pathology, 2015, 46(2): 191-201.
[20] 马季娜, 张中和. 器械相关性肺栓塞[J].中国实用内科杂志, 2003, 23(9): 571-572.
[21] Yang L, Wu H, Lu L, et al. A tailored extracellular matrix (ECM) - mimetic coating for cardiovascular stents by stepwise assembly of hyaluronic acid and recombinant human type III collagen[J]. Biomaterials, 2021, 276: 121055.
[22] 王晨羽, 王晓军, 俞楠泽, 等. 注射美容填充引起非血栓性肺栓塞——病例报告及文献回顾[J]. 中国美容整形外科杂志, 2017, 28(11): 662-665.
Wang CY, Wang XJ, Yu NZ, et al. Non-thrombotic pulmonary embolism after cosmetic filler injection: a case report and literature review[J]. Chinese Journal of Aesthetic and Plastic Surgery, 2017, 28(11): 662-665.
[23] Duan Y, Zhang L, Li S, et al. Polyacrylamide hydrogel pulmonary embolism—a fatal consequence of an illegal cosmetic vaginal tightening procedure: a case report[J]. Forensic Science International, 2014, 238: e6-e10.
[24] Bois MC, Hu X, Roden AC, et al. Increasing pulmonary infiltrates in a 72-year-old woman with metastatic breast cancer[J]. Chest, 2014, 146(6): e208-e211.
[25] 孙雪东, 陈建东, 严一核,等. 硅胶注射隆乳术后导致肺栓塞并外源性过敏性肺泡炎一例及文献综述[J]. 中国全科医学, 2014, 17(4): 477-479.
Sun XD, Chen JD, Yan YH, et al. Pulmonary embolism and extrinsic allergic alveolitis following breast augmentation with subcutaneous injection of silicone gel: a case report and literature review[J]. Chinese General Practice, 2014, 17(4): 477-479.
[26] Purdy-Payne EK, Green J, Zenoni S, et al. A serious complication of illicit silicone injections: latent silicone embolization syndrome after incision and drainage of local injection site[J]. Surgical Infections, 2015, 16(4): 473-477.
[27] Xin L, Bungartz M, Maenz S, et al. Decreased extrusion of calcium phosphate cement versus high viscosity PMMA cement into spongious bone marrow-an ex vivo and in vivo study in sheep vertebrae[J]. The Spine Journal, 2016,16(12): 1468-1477.
[28] Razuin R, Effat O, Shahidan MN, et al. Bone cement implantation syndrome[J]. Malaysian Journal of Pathology, 2013,35(1): 87-90.
[29] 关继奎, 赵丽, 姜屿, 等. 聚甲基丙烯酸甲酯骨水泥充填治疗骨损伤后的肺功能变化[J]. 中国组织工程研究, 2013, 17(25): 4727-4732.
Guan JK, Zhao L, Jiang Y, et al. Changes of pulmonary function after bone injury treated with polymethylme-thacrylic bone cement [J]. Chinese Journal of Tissue Engineering Research, 2013, 17(25): 4727-4732.
[30] Qing Y, Li R, Li S, et al. Advanced black phosphorus nanomaterials for bone regeneration[J]. International Journal of Nanomedicine, 2020, 15: 2045-2058.
[31] Kayat J, Gajbhiye V, Tekade RK, et al. Pulmonary toxicity of carbon nanotubes: a systematic report[J]. Nanomedicine: Nanotechnology, Biology and Medicine, 2011, 7(1): 40-49.
[32] Grunewald J, Eklund A, Katchar K, et al. Lung accumulations of eosinophil granulocytes after exposure to cornstarch glove powder[J]. European Respiratory Journal, 2003, 21(4): 646-651.
[33] 储慧民, 陈晓敏, 何斌, 等. 心房颤动射频导管消融后急性肺水肿分析[J]. 心电与循环, 2012, 31(1): 6-9.
Chu HM, Chen XM, He B, et al. Analysis of acute pulmonary edema after radiofrequency catheter ablation of ablation of atrial fibrillation[J]. Journal of Electrocardiology and Circulation, 2012, 31(1): 6-9.
[34] 孙源君. 心房颤动导管消融术后肺静脉狭窄的诊治进展[J]. 中国循环杂志, 2018, 33(9): 920-922.
Sun YJ. Progress in diagnosis and treatment of pulmonary vein stenosis after catheter ablation of atrial fibrillation [J]. Chinese Circulation Journal, 2018, 33(9): 920-922.
[35] 沈新月. 塑化剂DEHP可能通过氧化应激和TGF-β1产生肺毒性作用[D]. 合肥:安徽医科大学, 2018.

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