支气管球囊定位加封堵术联合补肺汤治疗慢性阻塞性肺疾病患者难治性气胸  

Bronchial Balloon Localization and Occlusion Combining with Bufei Decoction for Intractable Pneumothorax of Patients with COPD

作　　者：闫培清[1] 卜宪聪[1] 于晓红[1] 张华[1] 王家祥[1] 葛长胜 

机构地区：[1]山东省日照市中医医院,日照276800

出　　处：《实用中西医结合临床》2011年第4期5-6,共2页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的：探讨支气管球囊定位加封堵术联合补肺汤治疗慢性阻塞性肺疾病患者难治性气胸的疗效、并发症及复发率。方法：12 例慢性阻塞性肺疾病患者, 在支气管镜检查基础上, 应用德国 MTW Endoskopie 双腔球囊导管对胸膜瘘口所属支气管定位,然后注入不同剂量的自体血和凝血酶,所有患者口服补肺汤,日 1 剂,3 个月以上,并观察疗效、不良反应,随访 18~24 个月。结果：11 例定位成功,9 例一次封堵成功,1 例第二次封堵成功,另 1 例放弃再次封堵,封堵成功率 90.9%（10/11）,3 例低热,无复发病例。结论：支气管球囊定位加封堵术联合补肺汤治疗慢性阻塞性肺疾病患者难治性气胸是一种有效方法,且并发症少,复发率低。Objective：To investigate the effect,complications and recurrence rate of bronchial balloon localization and occlusion combining with Bufei decoction for intractable pneumothorax of patients with chronic obstructive pulmonary disease（COPD）.Methods：12 Cases of pneumothorax with COPD were selected,Bronchi leading to the target bronchus were localized by balloon catheter（producted by MTW Endoskopie）through bronchoscopy.Different doses autologous blood was injected into the target bronchus and followed by thrombin solution through balloon catheter.All patients took 1 package of Bufei decoction,two times every day,treated for more than 3 months.Observing the effect,complications,follow up 18~24 months.Resuts：11 patients were successfully localized,9 patients were successfully occlused after the first occlusion,1 patient was successfully occlused after the second occlusion,1 patient refused to accept the second occlusion.3 patients had low fever,wich resolved quickly,there was no recurrence case.Conclusion：Bronchial balloon localization and occlusion combining with Bufei decoction for intractable pneumothorax of patients with COPD are effective,with having less complications and less recurrence rate.

关 键 词：气胸 支气管镜 球囊 封堵术 补肺汤 

分 类 号：R563.5[医药卫生—呼吸系统]