38例单侧毁损肺的外科治疗  

Analysis in surgical treatment for 38 cases of unilateral destroyed lung

作　　者：王家利 韩典慧 王晓明 

机构地区：[1]山东省枣庄市王开结核病院,枣庄277500

出　　处：《中国防痨杂志》2001年第4期233-234,共2页Chinese Journal of Antituberculosis

摘　　要：目的　总结单侧毁损肺的外科治疗经验。方法　 1982～ 1998年应用胸膜全肺切除术治疗38例单侧毁损肺。结果　手术失血 80 0～ 72 0 0ml,10 0 0ml以上 2 7例 ( 71.0 % ) ,其中 ,30 0 0ml以上 13例 ( 34 .2 % )。治愈 37例 ( 97.4 % ) ,死亡 1例 ( 2 .6% ) ,术后并发症者 3例 ( 7.9% )。结论　毁损肺手术难度大 ,游离肺和处理肺门困难 ,出血多 ,术后并发症多。应严格掌握手术指征 ,作好术中循环监护 ,积极预防残腔感染。Objective To study the experience of surgical treatment for unilateral destroyed lung.Methods From 1982 to 1998 we performed pleuropneumonectomy to treat 38 cases of unilateral destroyed lung.Results The quantity of operative hemorrhage was 800ml to 7?200ml,over 1?000ml was in 27(71.0%),over 3?000ml was in 13(34.2%). There was a cure rate of 97.4%, a mortality of 2.6%, and an incidence of postoperative complication of 7.9%. Conclusion Pleuropneumonectomy on these cases was very difficult. The main difficulty was dissection of the lung and handling of the hilum. There was loss of a great deal of blood. the incidence of postoperative complication was high. It should be strict to handle the operative indication. Circulation monitoring at operation and meticulous operative procedure were most important. Prevention of intrathoracic infection was of significance

关 键 词：毁损肺 胸膜全肺切除 结核性毁损肺 外科治疗 

分 类 号：R655.3[医药卫生—外科学]