同期外科手术治疗双侧重症肺大疱

One-Stage Operation for Serious Bilateral Bullous Lung Disease

探讨双侧重症肺大疱患者同期外科手术的可行性、安全性。方法：对６例双侧重症肺大疱患者采用硬膜外加浅全麻，正中切口，同期分侧行肺大疱切除、肺叶切除治疗。结果：全组病人麻醉手术过程平稳。术后１例病人因呼吸功能不全用呼吸机辅助呼吸１８ｄ。６例病人全部康复出院。结论：正中切口行双侧重症肺大疱同期手术，既可避免２次手术的风险，又可减轻病人精神、经济负担。

Objective:This study aimed to observe safety and availibility of one-stage operation for serious bilateral bullous lung disease.Method:Six patients underwent a procedure of one-stage surgical bullous resection or(and) pulmonary lobectomy on both side through a transsternal approach under an epidural block and light intravenous anesthesia.Result:All patients had a smooth course during anesthesia and operation period.Assistant ventilation was used in one patient for eighteen days because of respiratory failure after operation. All patients recoverd and discharged.Conclusion:This approach of operation for serious bilateral bullous lung disease avoids second operation and lightens patients'burden,both mental and economic.