肺切除术后支气管胸膜瘘22例分析  

Clinical analysis of 22 cases of bronchopleural fistula after pneumonectomy

作　　者：黄壮士[1] 寿化山[1] 张灿宇[1] 尹年太[1] 曾涟乾[1] 刘芳园[1] 

机构地区：[1]河南医科大学第二附属医院胸外科,郑州450003

出　　处：《中国综合临床》2001年第2期116-117,共2页Clinical Medicine of China

摘　　要：目的总结肺切除术后并发支气管胸膜瘘的诊治经验。方法回顾性临床分析 2 2例支气管胸膜瘘。结果发生率 1.12 % ;全肺切除术后发生率 (1.7% )高于肺叶切除术后发生率 (1.0 % ) ;平均发生于术后 13.8天。再手术治愈 4例 ,共死亡 5例 (2 2 .7% )。Objective To summarize the experience of the prevention and treatment on bronchopleural fistula (BF) complicated after pneumonectomy.Methods Clinical analysis of 22 cases of BF was retrospectively performed.Results The total incidence was 1.12%.The incidence of BF after total pneumonectomy was 1.7%,which was higher than that after pulmonary lobectomy (1.0%).The average time for the BF to occur was 13.8 days postoperatively.4 cases received operation again befroe healing occurred and 5 cases ended up in death (22.7%).Conclusion The key factors in preventing BF mainly lie in the suture techniques of bronchial residual stumps as well as the relevant factors influencing the healing.

关 键 词：支气管胸膜瘘 肺切除术 并发症 病因 症状 诊断 治疗 

分 类 号：R734.2[医药卫生—肿瘤]