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慢性阻塞性肺疾病的外科治疗进展 被引量:3

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摘要 有严重呼吸困难症状的晚期慢性阻塞性肺疾病单纯内科治疗效果不佳 ,目前常用的外科治疗方法有肺大疱切除、肺移植和肺减容术 (LVRS)。但每一术式均有其优缺点 ,应严格掌握手术的适应证和禁忌证。肺大疱切除术 ,是有症状的巨大肺大疱和肺大疱引起反复气胸的首选术式。LVRS的理想指征是过度气肿 ,非均质病变 ,FEV1>2 0 %和正常的PaCO2 。而弥漫性病变、低FEV1、高碳酸血症。
出处 《临床外科杂志》 2004年第5期309-310,共2页 Journal of Clinical Surgery
基金 重庆市科技攻关项目(2 0 0 3330 1 )
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同被引文献36

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