急诊肺切除治疗大咯血85例临床分析  

Emergency Lung Resection in Patients with Massive Hemoptysis

作　　者：朱亚玲[1] 詹乐寰[1] 张家麒[1] 徐建勋[1] 龚治平[1] 黄怡真[1] 

机构地区：[1]南京胸科医院胸外科

出　　处：《中华胸心血管外科杂志》1994年第2期128-129,共2页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：８５例大咯血急诊肺切除，取得并发症少，死亡率低的良好效果。不可逆性肺部慢性病变如空洞、血管瘤破裂所致出血控制困难。急诊肺切除能去除出血来源及挽救病人生命；并能减少出血和感染扩散的危险。严格的术前准备、精确判定出血部位、平稳的麻醉处理、气管或支气管内插管、适当吸痰使下呼吸道通畅、迅速切除病肺是手术成功的关键。术后着重于咳痰、或支气管吸引下呼吸道积血或凝血块的处理；并积极预防感染。patients of massive hemoptysis were underwent emergency lung resection with low morbidity and mortality rate(16.7% and 4.7%).Massive hemoptysis resulting from unreversible chronic pulmonary lesions such as cavitation and rupture of angioma is difficult to control. Emergency lung resection can remove the sources of hemorrhage and rescuc patient's life. In addition, it may reduce the risk of widespread endobronchial aspiration of the blood or spreading of infection.Preoperative accurate diagnosis of the site of the pulmonary or bronchial hemorrhage is a necessity for the success of surgery.Stable anesthesia with proper tracheal or tracheo-endobrochial intubation plus adequate aspiration to keep the lower airway patent is important. Speedy surgical resection of the diseased lung is vital. Postoperative management should focus on expectoration or tracheobronchial aspiration of the accummulated blood or blood clots in the lower airway and prevention of infection.

关 键 词：肺疾病 咯血 切除术 急症 

分 类 号：R655.3[医药卫生—外科学]