摘要
目的探讨肺切除术后迁延性肺瘘（PAL）的危险因素及防治措施。方法研究分析我院1999年6月至2009年6月43例肺切除术后迁延性肺瘘的临床资料，其中肺段及肺楔形切除4例，上叶切除31例，下叶切除2例，中下叶切除6例。结果本组共行肺切除术392例，术后发生迁延性肺瘘43例，发生率11．0％；平均漏气时间9．7d，平均住院时间16．1d；全组无死亡病例。结论吸烟、慢性阻塞性肺疾病、糖尿病、胸膜腔严重粘连、上叶切除以及是否使用切割缝合器等是肺切除术后迁延性肺瘘的危险因素。目前尚没有统一的治疗模式，非手术治疗大多可以治愈。PAL的预防则以术中预防为主。
Objective To investigate the risk factors and the prevention and treatment of prolonged air leak（PAL） after pulmonary resection. Methods The clinical data about 43 patients with PAL after pulmonary resection who were admitted to our hospital from June 1999 to June 2009 were retrospectively analyzed. Segmentectomy and wedge resection were performed in 4 cases, upper lobectomy in 31 eases,lower labeetomy in 2 cases and middle and lower lobeetomy in 6 cases. Results A total of 392 patients underwent pulmonary resection. Forty - three developed PAL, accounting for 1 I. 0% of the total number of the patients. The average time of alveolar air leaks was 9.7 days. The hospital stay averaged 16. 1 days. No patient died in the group. Conclusion The smoking, COPD, diabetes, serious adherence of thoracic cavity, upper lobeetomy and no use of staple line were the risk factors for PAL after pulmonary re- section.
出处
《临床外科杂志》
2010年第7期469-470,共2页
Journal of Clinical Surgery
关键词
肺切除术
肺瘘
危险因素
pulmonary resection
alveolar air leaks
risk factors
