| 经心包纵隔内关闭支气管残端治疗难治性支气管胸膜瘘 |
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| 引用本文： | 黄杰,周新明,毛志福,鲁世千,涂仲凡.经心包纵隔内关闭支气管残端治疗难治性支气管胸膜瘘[J].中华胸心血管外科杂志,2005,21(1):2-4. |
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| 作者姓名： | 黄杰 周新明 毛志福 鲁世千 涂仲凡 |
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| 作者单位： | 430060,湖北,武汉大学人民医院胸心外科 |
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| 摘 要： | 目的总结经心包纵隔内关闭支气管残端治疗难治性支气管胸膜瘘的经验。方法3例难治性支气管胸膜瘘的病人，采用胸骨正中切口经心包纵隔内关闭支气管残端加胸壁开窗引流治疗。结果3例支气管残端均闭合良好，随访至少5个月，无复发。结论该手术方法安全、疗效肯定，操作简单，复发率低，可在临床推广。
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| 关 键 词： | 支气管胸膜瘘 支气管残端 难治性 纵隔内 经心包 关闭 胸骨正中切口 引流治疗 手术方法 无复发 复发率 |
| 修稿时间： | 2004年6月28日 |
Management of the recalcitrant bronchopleural fistula using the transsternal transpericardial approach |
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| HUANG Jie,ZHOU Xin-ming,MAO Zhi-fu,et al..Management of the recalcitrant bronchopleural fistula using the transsternal transpericardial approach[J].Chinese Journal of Thoracic and Cardiovascular Surgery,2005,21(1):2-4. |
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| Authors: | HUANG Jie ZHOU Xin-ming MAO Zhi-fu |
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| Institution: | HUANG Jie,ZHOU Xin-ming,MAO Zhi-fu,et al. Department of Thoracic-Cardiovascular Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,China |
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| Abstract: | Objective To review the experience of closure of recalcitrant bronchopleural fistula using the transsternal transpericardial approach. Methods 3 patients with recalcitrant bronchopleural fistula underwent transsternal transpericardial closure of a bronchopleural fistula and drainage by open thoracostomy. Results All patients were survived and there was no recurrence of bronchopleural fistula. Conclusion Transsternal transpericardial approach seems to be a safe and effective method in cases of bronchopleural fistula complicated with empyema. It has the added advantage of less recurrent fistula formation. |
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| Keywords: | Bronchial fistula Thoracic surgical procedure Pneumonectomy Complications |
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