选择性支气管封堵术在难治性气胸治疗中的应用  

Application of selective bronchial occlusion in treatment of intractable pneumothorax

作　　者：林凤华[1] 苏伟平[1] 金润女[1] 

机构地区：[1]解放军第180医院呼吸内科,福建泉州362000

出　　处：《临床肺科杂志》2017年第8期1380-1382,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的评价选择性支气管封堵术在难治性气胸治疗中的应用价值。方法 2010年1月至2015年1月共有26例难治性气胸患者于本院行选择性支气管封堵术,在支气管镜下寻找胸膜瘘口所属支气管,局部注入纤维蛋白原加凝血酶。观察疗效及并发症。结果 26例患者中,21例第1次封堵成功,2例第2次封堵成功,3例转胸外科行外科手术治疗,最终封堵成功率为88.5%(23/26)。术后复查CT,均未发生肺不张。术中共有10例患者出现一过性SaO_2下降,均自行恢复。2例出现术后低热,经对症治疗后恢复。结论选择性支气管封堵术是治疗难治性气胸的安全有效的方法,值得临床推广。Objective To observe the clinical effect of selective bronchial occlusion in treatment of intractable pneumothorax. Methods From January 2010 to January 2015, there were 26 patients with intractable pneumothorax received in our hospital.The target bronchus were detected by bronchoscope.Then fibrinogen and thrombin were injected into the target bronchus.The clinical efficacy and complications were investigated.Results 23 of the 26 cases were cured by the first occlusion, and 2 other patients by the second occlusion.The other 3 patients received thoracoscopic surgery.The success rate of occlusion was 88.5% （23/26）.Thorax CT was taken after operation and no atelectasis was found.10 patients had transient drop of SaO2 and recovery by himself.2 patients had low fever and recovered after symptomatic treatment.Conclusion Selective bronchial occlusion is safe and effective treatment of intractable pneumothorax, which is worth of widely clinical promotion.

关 键 词：支气管镜 封堵术 难治性气胸 

分 类 号：R561.4[医药卫生—呼吸系统]