单侧毁损肺38例外科治疗体会  

Experience of Surgical Therapy Single Damaged Lung

作　　者：颜峻[1] 甘北南[1] 

机构地区：[1]黑龙江省医院胸外科,黑龙江哈尔滨150036

出　　处：《黑龙江医学》2008年第4期279-280,共2页Heilongjiang Medical Journal

摘　　要：目的总结单侧毁损肺的外科治疗经验。方法1990-2007年，应用胸膜全肺切除术治疗38例单侧毁损肺。结果手术失血800-7000mL，1000mL以上29例（76．32％），3000mL以上6例（16．79％）。4例死亡，12例出现并发症。结论外科手术治疗毁损肺疗效显著，但手术难度大，游离肺和处理肺门困难，出血多，应严格掌握手术适应证，做好充分术前准备。一旦出现并发症，只要及时正确处理，可大大降低围术期死亡率。Objective To summarize the experiences of surgical therapy Single damaged lung. Methods 38 patients of such patient during 1990 to 2007, were taken the pleurop neumonectomy for curing the single damaged lung. Results Blood loss during operation was 800 - 7000 mL, 29 patients lossed blood more than 1 000 mL（76.32% ）, 6 patients lossed blood more than 3 000 mL（ 16.79% ）.4 patients died, and 12 patients appeared complications. Conclusion Surgical therapy Single damaged lung has a obviously curative effect, but the operation was difficult, It was not easy to dissociate the hilum of lung, and has much blood loss. So the operation indication shoud be controled strictly, and the preoperative preparation shoud be done sufficiently. If complication was occurred, the right treatment shoud be done immediately, and the death rate during the operation will be largely decreased.

关 键 词：毁损肺 外科治疗 

分 类 号：R655.3[医药卫生—外科学]