肺切除术后支气管胸膜瘘的防治进展  

Bronchopleural Fistula after Pulmonary Resection on the Prevention and Treatment

作　　者：黄鑫[1] 王金江[1] 杜云有 

机构地区：[1]天津市静海县医院胸外科,301600

出　　处：《黑龙江医药》2012年第4期547-549,共3页Heilongjiang Medicine journal

摘　　要：支气管胸膜瘘(BPF)是肺切除术后严重的并发症之一,是由于各种原因引起的支气管残端愈合能力差、感染等因素造成,常出现刺激性咳嗽、咯血、咯脓痰、呼吸困难及发热等症状,多可通过注射亚甲蓝实验等方法确诊。目前BPF的治疗多种多样,首先以对症支持治疗为基础,采取包括冲洗引流法、封堵法及手术方式等治疗,其治疗原则是闭合瘘口,消灭脓腔。但BPF治疗困难,疗效不佳,因此预防至关重要。要重视与BPF发生相关的临床危险因素,掌握手术适应证,合理选择手术方式,加强围术期治疗、观察及护理,以预防BPF的发生。Bronchopleural fistula after pulmonary resection（BPF）is one of the most serious complications after,is due to various causes of bronchial stump healing ability difference,infection and other factors,often irritating cough,hemoptysis,cough phlegm,dyspnea and fever and other symptoms,many by methylene blue injection experiments and other methods confirmed.At present,the treatment of a variety of BPF,firstly with symptomatic and supportive therapy is a foundation,adopt include flushing drainage method,plugging and operation mode of such therapy,therapeutic principle is close fistula,eliminating pus cavity.But BPF treatment difficulty,poor effect,therefore prevention is very important.Should take seriously highly and BPF related to the occurrence of clinical risk factors,strictly grasp the operation indication,selection of operation mode and stump treatment technology,strengthen the perioperative treatment,observation and nursing of preventing the occurrence of BPF.

关 键 词：肺切除术后 支气管胸膜瘘 防治进展 

分 类 号：R655.3[医药卫生—外科学]