摘要
目的探讨肺大泡破裂所致自发性气胸有效的外科治疗方法,提高临床治疗效果。方法回顾性分析我院2009～2011年间收治的42例肺大泡破裂所致自发性气胸患者的临床资料,总结外科治疗经验。结果本组42例肺大泡破裂所致自发性气胸患者手术均取得成功,手术时间为40～90min,平均(57.4±6.8)min,术中出血量为80～200ml,平均(117.6±23.5)ml,术后拔管时间为3～10d,平均(5.3±1.2)d,住院时间为8～14d,平均(10.3±1.6)d。术后无肺全部复张、漏气及切口感染等并发症,随访3～6个月,未发现复发者。结论外科手术治疗肺大泡破裂所致自发性气胸临床疗效好,术后并发症发生率和复发率较低,值得临床进一步推广使用。
Objective To investigate the effective surgical treatment for spontaneous pneumothorax caused by bullae of lung,and improve the clinical treatment effect.Methods A retrospective analysis of clinical data of 42 cases with spontaneous pneumothorax caused by bullae of lung in our hospital from 2009 to 2011 years was operated,summarized the experience of surgical treatment.Results Operations of the 42 cases were all successful,operation time was 40 ～ 90 min,average time was（57.4 ± 6.8） min,the amount of bleeding in operation was 80 ～ 200 ml,average amount was（117.6 ± 23.5） ml,postoperative extubation time was 3 ～ 10 d,average time was（5.3 ± 1.2） d,hospitalization time was 8 ～ 14 d,average time was（10.3 ± 1.6） d.No lung reexpansion,gas leakage,incision infection and other complications occurred after operation,followed up for 3 ～ 6 months,found no recurrence.Conclusion Surgical operation treatment for spontaneous pneumothorax caused by bullae of lung has good clinical curative effect,the incidence of postoperative complications and recurrence rate is low,it is worthy of further clinical using.
出处
《中国实用医药》
2012年第30期62-63,共2页
China Practical Medicine
关键词
肺大泡破裂
自发性气胸
外科治疗
Bullae of lung
Spontaneous pneumothorax
Surgical treatment
