32例单侧毁损肺手术治疗效果的临床分析  

Clinical Analysis of Surgical Treatment for 32 Cases With Isolated Destroyed Lung

作　　者：师文超 陈和忠[2] 

机构地区：[1]江苏省丰县中医院胸外科,221700 [2]上海市第二军医大附属长海医院胸心外科

出　　处：《医学理论与实践》2010年第12期1431-1432,1435,共3页The Journal of Medical Theory and Practice

摘　　要：目的:临床分析单侧毁损肺行全肺切除术的必要性。方法:对单侧毁损肺行全肺切除术治疗32例患者,总结分析术前、术后检查如肺功能、血气分析PO2、血氧饱和度的变化,来分析临床治疗的效果。结果:32例未出现手术死亡及严重并发症,其中胸液引流量多4例;少量咳血6例,经治疗7～14d治愈;切口愈合不良2例,经敞开引流换药后约一周二次缝合愈合良好。随访6～12个月,3例出院后仅能生活自理,不能从事体力活动;余29例均可从事一般体力活动。结论:单侧毁损肺应尽早考虑单侧毁损肺行全肺切除治疗是有必要性的。Objective：To analyze the results and indications of surgical treatment in isolated destroyed lung.Methods：32 patients performed for isolated destroyed lung resection were reviewed.The perioperative pulmonary function,PO2 in artery blood gas analysis,and SiO2 were assessed focusing on the changes.The surgical results were sought to be analyzed.Results：No surgery related death and serious early complications happened among all patients.Delayed thoracic drainage occurred in 4 cases,mild hemoptysis happened in 6 cases and all got recovery undergoing conservative treatments with 7 to 14 days.Poor healing incisions occurred in 2 cases and were cured with dressing changes and secondary suture.All patients accepted 6 to 12 months follow-up.Activity tolerance was kept in a low level in 3 patients,other 29 patients could stay in a moderate level and attended daily activities.Conclusion：Early surgical resection is feasible for the patients with isolated destroyed lung with available results.

关 键 词：毁损肺 肺功能 血气分析 全肺切除 

分 类 号：R563[医药卫生—呼吸系统]