COPD并自发性气胸行肺大疱切除加单侧肺减容术临床分析  

Pulmonary Bullectomy and Lung Volume Reduction Surgery for Patient with Chronic Obstructive Pulmonary Disease complicated Spontaneous Pneumothorax

作　　者：兰峻斌[1] 吴艺根[1] 许胜水[1] 熊伟[1] 高毅哲[1] 段明科[1] 

机构地区：[1]厦门市第二医院胸心外科,福建厦门361021

出　　处：《临床肺科杂志》2010年第11期1586-1588,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的报道急诊或亚急诊肺大疱切除加单侧肺减容术治疗COPD并自发性气胸的临床结果。方法对32例COPD并自发性气胸患者实施肺大疱切除加单侧肺减容术,术后随访24个月,分别于术后第6、12、24个月测定动脉血气分析值。结果术后第6、12、24个月与术前相应数值比较,均有明显好转(P<0.05)。全组无手术死亡,术后并发症发生率在35%左右。结论肺大疱切除加单侧肺减容术可以改善COPD并自发性气胸患者的临床症状,且手术死亡率低,尽量切除肺大疱及病变侧过度气肿的肺组织和防止残肺漏气为手术关键,做好围手术期的处理,能明显减少术后并发症。Objective To report the clinical efficacy、indication of operation and perioperative management of pulmonary bullectomy and lung volume reduction surgery （LVRS） on the patient with chronic obstructive pulmonary disease （COPD） complicated spontaneous pneumothorax.Medthod 32 patients with COPD complicated spontaneous pneumothorax underwent pulmonary bullectomy and LVRS.The results of arterial blood gas analysis was analyzed postoperative 6、12、24 months.Results The results of arterial blood gas analysis were improved in （P0.05）.There was no patient died in perioperative period,and the ratio of complication after operation was 35%.Conclusion Pulmonary bullectomy and LVRS are effective and safe procedures for patients with COPD complicated spontaneous pneumothorax.To excise nonfunctioning pulmonary tissue and pulmonary bulla as much as possible and to avoid prolonged air-leakage after operation is more important during the operation.Better perioperative management may be decrease postoperative complications.

关 键 词：COPD并自发性气胸 肺大疱切除 肺减容术 围手术期治疗 

分 类 号：R655[医药卫生—外科学]