摘要
本文介绍８６例肺大泡破裂的外科治疗。患者多为青少年，＜３５岁者占６４％，男女性之比为５：１。作者认为：（１）肺大泡破裂引起的自发性气胸有双侧同时发病或交叉发病及保守治疗后容易复发的特点。（２）患者常无肺部基础病变。（３）常规Ｘ线检查是诊断气胸的基本方法，但难以发现肺大泡病灶。（４）气胸多次发作、支气管胸膜瘘长期不愈、肺被纤维素膜板包裹不能复张者，以及首次发作气胸经胸腔闭式引流７２小时以上仍无改善者，采用手术疗法，逐一处理所有肺大泡，可避免气胸复发。
This paper presents the experience of surgical treatment of 86 cases with rupture of the pulmonary bullae.There are 72 menand 14 women, aged 15 to 65 years(mean 31.6 years),Authors consider:(1) The clinical features of bullous lesions of the lunginclude simultaneous episodes,nonsimultaneous contralateral occurrences and subsequent recurrence after conservative treatment.(2)It develops without previously known underlying lung disease.(3)X-ray examination for bullous lung disease is highly inaccurate,but It is valuable to diagnosis spontaneous pneumothorax.(4) Indications for surgical intervention are as followings:recurrent pneumothorax,persistent bronchopleural fistula,and failure to fully reexpand the lung and seal the air leak with chest tube drainage of the pleural space at 72 hours,This will prevent recurrence of pneumothorax.
出处
《中国胸心血管外科临床杂志》
1995年第1期11-13,共3页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
肺大泡
自发性气胸
外科手术
治疗
bullous lesions of the lung
spontaneous pneumothrax
