大量咯血的肺切除手术治疗32例临床分析

The clinical analysis of 32 cases with massive hemoptysis treated by pneumonectomy

目的 探讨肺切除治疗大咯血手术的适应证及手术时机。方法 对 1 985～ 2 0 0 0年 3 2例肺切除治疗大咯血病人的手术效果进行回顾分析。结果 大咯血病人施行肺切除 3 2例 ,治愈率 87.5 % ,并发症 1 2 .5 %。结论 手术适应证趋于积极 ,即非手术治疗效果不佳 ,出血部位确定 ,肺功能 ,全身状况良好 ,尽早施行手术 ,当患者出现窒息或低血压时应抓紧手术时机。因并发症和死亡率仍高于常规肺切除 。

Objective To discuss the indication and opportunity of the pulmonectomy for massive hemoptysis.Methods Retrospectively analyzed the therapeutic effect of 32 cases with massive bemoptysis' treated by pulmonectiony from 1985 to 2000.Results The cure rate of 32 cases with massive hemoptysis' was 87.5%.Conclusions The operation indication is as follows:the bloody operation position is definite,the lung function and the general condition are better.The surgical showled be conduct as early as possible,especially,The operation indication should be seriously controlled,because the complication and death rate are higher than that of the routine pneumonectomy.