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重度慢性阻塞性肺疾病合并自发性气胸的外科治疗
引用本文:王烈,廖振兴,毛艳. 重度慢性阻塞性肺疾病合并自发性气胸的外科治疗[J]. 中国综合临床, 2012, 28(1). DOI: 10.3760/cma.j.issn.1008-6315.2012.037
作者姓名:王烈  廖振兴  毛艳
作者单位:川北医学院附属医院胸外科,南充,637000
摘    要:
目的 探讨重度慢性阻塞性肺疾病(COPD)并发自发性气胸的外科手术方法及疗效.方法 分析16例重度COPD患者的临床资料和手术效果.结果 全组围术期无死亡并均痊愈出院.14例出院时主观症状、运动及耐受力等肺功能指标较并发气胸前有明显改善和提高,2例肺功能恢复到以前水平.结论 重度COPD并发自发性气胸可适当放宽肺功能指标,尽早开胸手术,建议使用直线钉合器并行简单肺减容术,可缩短手术时间,改善肺功能,减少手术风险.

关 键 词:慢性阻塞性肺疾病  自发性气胸  肺功能  直线钉合器

Surgical treatment of severe COPD with spontaneous pneumothorax
WANG Lie,LIAO Zhen-xing,MAO Yan. Surgical treatment of severe COPD with spontaneous pneumothorax[J]. Clinical Medicine of China, 2012, 28(1). DOI: 10.3760/cma.j.issn.1008-6315.2012.037
Authors:WANG Lie  LIAO Zhen-xing  MAO Yan
Abstract:
Objective To explore the surgical methods and its efficacy on severe chronic obstructive pneumonia disease (COPD) with spontaneous pneumothorax.Methods Clinical features and surgical efficacies of 16 cases of severe COPD were analyzed.Results No death occurred and all patients recovered and discharged.The lung function index including subjective symptoms,motor ability and endurance in 14 cases showed obvious improvement compared with those before combination of pneumothorax.Two patients improved to the level before surgery.Conclusion The lung function index of patients with severe COPD and pnumothorax can be relatively less restricted and open-chest surgery should be performed as soon as possible.Linear nailing and simple lung volume reduction surgery are recommended to improve lung function,shorten operation time and reduce surgical risks.
Keywords:Chronic obstructive pneumonia disease  Spontaneous pneumothorax  Lung zunction  Linear nailing
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