胸膜腔造影和注射粘连剂对难治性气胸的诊治

目的：为更清晰地显示顽固性气胸的漏气部位和性质，为不能耐受手术者摸索一种新的治疗手段。方法：选择１８例患者，先用７６％泛影葡胺行胸膜腔造影，而后在局部注入少量粘连剂。结果：造影后发现多发性肺大泡８例，单发性肺大泡６例，肺大泡伴粘连带４例。病变分别位于左上肺，右上肺，中下肺野及叶间裂。注射粘连剂后，１５例一次成功，３例第二次成功。随防６～１８个月，未见复发。结论：该方法易掌握，无明显副作用。病变显示明显，易被患者接受，具有明显的临床效果和推广价值

The Clinical Observation of Contrast Examination of Pleural Cavity and Local Injection of Adhesive Against Intractable Pneumothorax

Objective: To ascerain the leak place and nature of the obstinate pneumothorax clearly,the using of whole and local injection of adhesive provides the patients who cannot tolerate operation a new treatment. Methods: 18 cases of intractable pneumothorax were selected,with whom 76% meglucamine diatrizoate were first used for contrast examination of pleural cavity,then a small amount of adhesive was injected. Results : 8 cases of multiplo bullae of lung, 6 cases of single bullae of lung, 4 cases of bullae of lung accompanying adhesive band were found. The pathological changes were located seperatly in upper left lung.upper right lung,The middle and low lung field.After injected with adhesive,15 of them turned out to be successful. 3 succeeded with a second injection.The follow up surgery ranged from half a year to 1.5 year. No recurrence was found. Conclusion : This method is easy to adopt and has no evident side effects. It can be easily accepted by patients,has obvious clinical results.