摘要
目的:探讨全肺切除术治疗单侧毁损肺的临床疗效。方法:回顾分析我院25例毁损肺患者的临床资料,并对其麻醉和手术方法进行总结。结果:25例患者术后拔除胸腔调压管时间为4~9 d,平均5 d;其中术前8例痰菌阳性者术后痰菌全部阴转。术后3个月内发生脓胸1例,3个月后发生1例脓胸支气管残端瘘,均行胸腔闭式引流术;1例发生术后出血,经2次开胸止血后治愈;全组无死亡病例。结论:全肺切除治疗单侧毁损肺安全可行、疗效可靠,但应积极防止并发症的发生。
Objective:To explore clinical effects of pneumectomy in single tuberculosis destroyed lung.Methods:To analyses 25 cases clinical materials of destroyed lung retrospectively and summarize the anesthesia and operation approach.Results:The time of removing eurge pipe is from 4 days to 9 days,the average is 5 days;the hospitalization time is from 12days to 25 days,the average is 18 days;the sputum bacteria of 8 cases tuberculosis destroyed lung become negative in the postoperation.the complications are empyema and brochusofistula and haemorrhage in the postoperation,but no patient is die.Conclusion:It is an safe and reliable approach that pneumectomy treat single tuberculosis destroyed lung,but prevent postoperative complications positively.
出处
《内蒙古医学杂志》
2011年第1期36-37,共2页
Inner Mongolia Medical Journal
关键词
结核
毁损肺
外科治疗
Tuberculosis
Destroyed lung
Surgical therapy