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肺曲菌球手术出血情况分析及术前评估 被引量:1

Haemorrhage in the surgery for pulmonary aspergilloma:an analysis and evaluation of pre-operation
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摘要 目的明确合并有肺曲菌球的不同类别肺切除手术的出血情况及并发症相关性,为术前评估及术后并发症预防提供依据。方法对合并有肺曲菌球的各类肺叶切除手术按胸膜腔黏连情况及手术方式与手术出血情况,术后并发症进行分类对比。数据进行统计学处理,明确各类手术相关情况。结果132例中手术出血及并发症与胸腔黏连情况存在显著性差异,而与手术方式无明确相关性。结论对合并有曲菌球的肺手术,在术前评估时应充分考虑病史体征及症状,对黏连情况做出正确判断,选择恰当的手术方案将减少不必要的手术风险和术后并发症的发生。 Objective To detect the relationship between different categories of surgery in lung with Aspergilloma and haemorrhage complications during and after operation, and provide the basis of evaluation of pre-operation and prevention of post-operation complication. Methods Based on the surgery category, such as pneumonectomy or pulmonary lobectomy, pleural cavity adhesion, hemorrhage situation during surgery and post-operation complications, all the datas are classified and compared with each other to evaluate the statistic significance and their relationship. Results Among 132 patients, haemorrhage complications are significantly related to the pleural cavity adhesion situation, but not to the surgery category. Conclusion In the surgical treatment of pulmonary aspergilloma, it is important to carefully evaluate medical history, clinical symptoms and signs before surgery. These will help to determine the pleural cavity adhesion situation and select the proper surgical procedures which can reduce the surgery risk and palliate the postoperative haemorrhage complications.
出处 《中华肺部疾病杂志(电子版)》 CAS 2009年第1期37-38,共2页 Chinese Journal of Lung Diseases(Electronic Edition)
关键词 肺曲菌球 毁损肺 肺切除术 失血 Pulmonary aspergillus Damaged lung Pneumonectomy Blood loss
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