摘要
目的探析肺癌累及上腔静脉的外科治疗效果。方法将我院2008年5月至2010年5月经手术治疗的肺癌累及上腔静脉患者30例作为研究对象,将其临床资料进行回顾性分析,记录患者上腔静脉压力及阻断时间的测量结果;上腔静脉置换患者给予膨体聚四氟乙烯人工血管治疗;运用4-0Prolene无创伤滑线进行缝合;观察术后患者吻合口出血等情况。结果上腔静脉置换19例患者中,未阻断的患者有5例,上腔静脉阻断患者的阻断时间为10～32 min。阻断患者的上腔静脉压力在术前测定为30 KPa,术中最高压力为40 KPa。整个围术期及手术中未出现死亡现象;12例患者术后出现肺炎、肺不张、心功能不全、心律失常等并发症。结论治疗过程中,减少上腔静脉阻断时间可避免患者出现脑水肿;选择适宜的人工血管,运用无创伤滑线连续外翻缝合,可有效控制出血、血管栓塞的症状。
Objective Surgical treatment of lung cancer involving the upper vena cava.Methods In our hospital from 2008 May to 2010 5 menstrual operation treatment for lung cancer invading the superior vena cava in 30 patients as the research object,the retrospective analysis of the clinical data,record the measurement results of patients with superior vena cava pressure and blocking time;superior vena cava replacement patients were given bulk Teflon artificial blood vessel treatment;no trauma slide line suture using 40Prolene;postoperative anastomosis mouth bleeding.Results 19 patients with intravenous replacement on cavity,patients are not blocked in 5 cases,the superior vena cava occlusion time of patients for 10 ～ 32 minutes.Block in patients with superior vena cava pressure determination of 30KPa in preoperative,intraoperative highest pressure is 40 KPa.No mortality occurred in the perioperative period and operation;12 patients developed pneumonia,atelectasis,heart failure,arrhythmia and other complications.Conclusion In the course of treatment,reduce the superior vena cava cross-clamping time can be avoided in patients with cerebral edema;selection of artificial vascular suitable,using non-invasive slip line continuous everting suture,can effectively control the bleeding,embolism symptoms.
出处
《临床肺科杂志》
2013年第7期1287-1288,共2页
Journal of Clinical Pulmonary Medicine
关键词
上腔静脉
肺癌
外科手术
superior vena cava
lung cancer
surgical operation
