毁损肺一侧全肺切除治疗

Surgical treatment of unilateral destroyed lung

由各种原因引起肺叶或一侧全肺功能完全丧失，体积缩小，已造成不可逆病理性改变称毁损肺。对于一侧肺毁损的患者，适时采取手术切除病侧全肺。不但可以迅速缓解呼吸系统症状，而且可以显著提高患者生存质量，甚至对部分良性疾病可达到治愈目的。由于肺组织的广泛纤维化患侧肺功能丧失。患者均有不同程度的气促及反复出现的咳嗽、咳脓痰、咯血。而且由于壁层胸膜的增厚，内科治疗效果差。大多需外科治疗，但该手术对患者围术期的生理状况干扰大，手术过程创伤大，出血多，术后并发症多且严重，对手术技术的要求较高。文章总结毁损肺的全肺外科治疗方法和进展进行综述。

Destroyed lung has resulted in the pathological changes of irreversible lung damage. The variety of reasons cause lobes of lung or the side of the whole lung loss of function and volume decrease. To the side of hmg damage for patients. , it is necessary to take the whole side of surgical resection of lung disease at the fight time Not only it can quickly alleviate the respiratory symptoms, but also can significantly improve the patients quality of life. Even some benign disease can be cured to achieve the purpose. Because of the extensive fibrosis of lung tissue loss of the affected lung function. Patients have varying degrees of shortness of breath and recurrent cough, cough purulent sputum, hemoptysis. Because of the thickened parietal pleura, those result in the effect of bad medical treatment. Most need surgical treatment, but the surgery cause perioperative patient physiological condition of interference, Major trauma surgical procedures, much more bleeding, and many and serious postoperative complications, those require a higher surgical technique. The article summed up the whole lung damage lung surgical methods and progress were reviewed.