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局麻胸腔镜清创术治疗脓胸实用性研究 总被引:1,自引:0,他引:1
目的探讨脓胸患者经局麻胸腔镜清创术治疗的实用价值。方法在局麻下用硬质电视胸腔镜行脓胸清创术,介绍操作方法及清创步骤,观察患者的耐受性及疗效。结果总有效率为90.6%,早、中、晚期治疗有效率分别是100.0%、90.9%、50.0%。术中监测患者对操作的反应及血氧饱和度、呼吸、脉搏、心电图改变均无统计学意义。结论局麻胸腔镜清创术在患者清醒状态下操作,除抽净黏稠脓液外尚可取出团块状脓苔及坏死组织,打穿包裹性脓腔,充分冲洗,可迅速控制感染。方法简单,避免全麻气管插管带来的并发症,术后恢复快,适应证广,患者易耐受,是治疗脓胸的实用方法。 相似文献
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目的探讨食管贲门癌术后吻合口瘘性脓胸发生的原因、诊断方法及防治措施. 方法对1972~2003年间手术切除的食管贲门癌4 890例中发生吻合口瘘性脓胸的42例临床资料进行回顾性分析. 结果全部行胸腔闭式引流,12例放置上、下胸管,采用30%乙醇胸腔灌洗加负压吸引治疗,痊愈;25例再次手术,其中2例颈部带血管蒂肌瓣填塞瘘口治愈,23例瘘口缝合后用医用生物蛋白胶或大网膜填塞、仅4例死亡;5例因中毒性休克、衰竭,不能再次手术而死亡. 结论严格选择病例、充分做好术前准备、注意手术操作、改进吻合方法、加强术后处理是预防吻合口瘘性脓胸的关键. 相似文献
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Primary pleural angiosarcoma (PPA) is an extremely rare and clinically aggressive tumor. We report the case of a 66-year-old man having PPA with chest computed tomography (CT) scan showing a large oval-shaped, nonenhancing high attenuation cystic mass in the left hemithorax. Morphological and immunohistochemical findings supported the diagnosis of epithelioid angiosarcoma. Pleural angiosarcoma should be considered in the differential diagnosis of spontaneous hemothorax manifesting as high attenuation loculated pleural fluid on CT. 相似文献
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目的探索综合引流治疗胸内食管胃吻合口瘘合并包裹性脓胸的价值。方法对2000年1月~2011年6月手术切除的食管癌、贲门癌中发生胸内食管胃吻合口瘘合并包裹性脓胸的4例临床资料进行回顾性分析。其中合并脓胸3例采用综合引流法即:用胃管引流胃液,胸腔闭式引流胸腔积液,介入方法置引流管引流瘘腔,胸壁置细引流管(中心静脉导管)负压引流包裹性积液,B超定位胸穿随时抽吸新发包裹性积液。结果 25d左右纵隔脓腔消失,各引流管及肠造瘘肠内营养管先后拔出,患者可顺利进食。结论综合引流治疗胸内食管胃吻合口瘘合并脓胸安全、经济、有效。 相似文献
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目的探讨脓胸患者经局麻胸腔镜清创术治疗的实用价值。方法在局麻下用硬质电视胸腔镜行脓胸清创术,介绍操作方法及清创步骤,观察患者的耐受性及疗效。结果总有效率为90.6%,早、中、晚期治疗有效率分别是100.0%、90.9%、50.0%。术中监测患者对操作的反应及血氧饱和度、呼吸、脉搏、心电图改变均无统计学意义。结论局麻胸腔镜清创术在患者清醒状态下操作,除抽净黏稠脓液外尚可取出团块状脓苔及坏死组织,打穿包裹性脓腔,充分冲洗,可迅速控制感染。方法简单,避免全麻气管插管带来的并发症,术后恢复快,适应证广,患者易耐受,是治疗脓胸的实用方法。 相似文献
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IntroductionCongenital diaphragmatic hernia (CDH) is a defect in diaphragm which usually presents with severe respiratory distress in neonatal period.Presentation of caseWe present a case of congenital diaphragmatic hernia presenting at an age of 2.5 years in a male child. It was misdiagnosed as a case of pyothorax for which chest tube was attempted on left side resulting in iatrogenic gastric perforation. The patient was managed by early and prompt surgery.DiscussionLate presentation is usually rare with vast array of respiratory and gastrointestinal symptoms. It often leads to clinical and radiological misdiagnosis.ConclusionSurgical intervention in misdiagnosed cases can lead to catastrophic iatrogenic complications. 相似文献
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