加温稀释碘伏和高渗葡萄糖联合微创胸膜粘连术治疗顽固性自发性气胸25例  

Treatment of Intractable Pneumothorax by Minimally invasive thoracic surgery, Combined pleurodesis Therapy of Heating iodophor diluent and Hypertonic glucose

作　　者：丁学兵[1] 龚永生[1] 汪发九[1] 成刚[1] 李发恩[1] 

机构地区：[1]南京医科大学附属苏州医院心胸外科,江苏苏州215000

出　　处：《中国美容医学》2012年第10X期106-107,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨胸部微创术后用温稀释碘伏和高渗葡萄糖联合治疗顽固性自发性气胸的效果。方法:25例自发性气胸经肺大疱切除后,加温热稀碘伏水保留0.5h,吸尽后加入50%高渗葡萄糖60ml均匀喷洒脏壁层胸膜,0.5h时开放引流。结果:本组患者总有效率100%,随访未见气胸复发。结论:胸部微创、加温稀释碘伏水和高渗葡萄糖联合胸膜粘连术治疗顽固性自发性气胸安全、有效、价廉,值得推广。Objective To investigate the effect of minimally invasive thoracic surgery on lung bullae with intractable spontaneous pneumothorax,and Combined pleurodesis therapy of heating iodophor diluent and hypertonic glucose. Methods The 25 patients with lung bullae with spontaneous pneumothorax treated with minimally invasive thoracic surgery, were rinsed thoroughly after thoracic, added warm diluted povidone-iodine water reservation for half an hour, sucked up after adding 60ml of 50% hypertonic glucose ,uniform Jeted parietal pleural cavity of the chest, and then open drainage tube in 0.5h. Results The cure rate of this group of patients was 100%There was no recurrence of ,pneumothorax in follow-up. Conclusion There were safe, effective and inexpensive,worthy of further promotion of the use to treat intractable spontaneous pneumothorax.

关 键 词：加温稀碘伏 高渗葡萄糖 胸膜粘连术 顽固性自发性气胸 

分 类 号：R561[医药卫生—呼吸系统]