摘要
目的:总结结核性毁损肺的外科治疗及并发症的防治措施。方法:对1990~2006年应用全肺切除治疗单侧结核性毁损肺34例的临床资料进行回顾性分析。结果:手术无死亡病例;并发呼吸衰竭2例,脓胸2例,支气管胸膜瘘1例,均采用相应治疗痊愈。结论:外科治疗结核性毁损肺临床效果满意,但要严格掌格手术指征,做好术中循环监护,积极预防残腔感染及支气管胸膜瘘。
Objective:To summarize the experience in surgical treatment of tuberculous destroyed lung and the prevention of complications.Methods:The clinical data of 34 cases of tuberculous destroyed lung treated by pneumonectomy from 1990 to 2006 were retrospectively analyzed.Results:No death occurred.Postoperative complications were observed in 5 cases,respiratory failure in 2 cases,bronchopleural fistula in 1 case and pyothorax in 2 cases.All the complications were managed accordingly.Conclusions:Pneumonectomy is effective in treatment of tuberculous destroyed lung.Strict mastery of the operative indication,proper circulation monitoring at operation and meticulous operative procedure are essential for prevention of intrathoracic infections.
出处
《蚌埠医学院学报》
CAS
2010年第4期383-384,共2页
Journal of Bengbu Medical College
关键词
结核
肺
毁损肺
肺切除术
外科手术
tuberculous
pulmonary
destroy lung
pulmonary resection
surgery