出血部位不明致命大咯血手术治疗的探讨  

Suigical treatment for the massive hemoptysis of unclear location

作　　者：任迎春[1] 张进华[1] 扬金良[1] 张力克[1] 梁建伟[1] 

机构地区：[1]河北医科大学第三医院胸外科,050051

出　　处：《河北医药》2002年第3期173-174,共2页Hebei Medical Journal

摘　　要：目的　探讨不明部位致命性大咯血术中安全有效的外科治疗方法。方法　对 3 4例术前不明部位的致命性大咯血采用不同术式 ,切除出血病变并结合文献进行分析。结果　本组病例有效率10 0 % ,无死亡 ;并发症 5例发生率为 14 .7%。结论　对出血部位不明的致命性大咯血患者在急症手术时 ,术中采用Carlen’s双腔管确定出血部位准确可靠 ,安全简便 。Objective To investigate effective method to save the lives of patients who repeatly suffered from vital massive hemoptysis.Methods The data of 34 patients were anylysed,who suffered from vital massive hemoptysis in our hospital from June,1980 to June,1998.The data included patients'age,gender,symptoms,the amount of hemoptysis,the feature of X ray,operative methods,curative results,etc.All patients were treated by emergency surgery guided under Carlen's double lumen endotracheal tube to locate the precise position of hemoptysis.Results All patients survived and the incidence of postoperative complications was 5 cases (14.5%),which was much lower than that of related literature.Conclusion The emergency surgery guided by Carlen's double lumen endotracheal tube is a effective and necessary method to deal with the vital massive hemoptysis of unclear location.

关 键 词：咯血 外科治疗 部位不明 

分 类 号：R655.3[医药卫生—外科学] R441.7[医药卫生—临床医学]