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老年慢性阻塞性肺气肿伴发支气管胸膜瘘的外科治疗
引用本文:佟倜,刘伟,纪振东,汲崇德.老年慢性阻塞性肺气肿伴发支气管胸膜瘘的外科治疗[J].中国老年学杂志,2001,21(1):24-25.
作者姓名:佟倜  刘伟  纪振东  汲崇德
作者单位:1. 吉林大学第一医院胸外科,
2. 吉林大学第三医院,
摘    要:目的:探讨老年慢性阻塞性肺气肿伴发支气管胸膜瘘外科治疗的意义,以及一侧肺减容术后肺功能的变化情况。方法:采用肺大泡结扎、缝扎及同侧肺减容术治疗老年慢性阻塞性肺气肿伴发支气管胸膜瘘。结果:手术疗效确切,更重要的是术后肺功能有显著改善。结论:对于老年慢性阻塞性肺气肿伴发支气管胸膜瘘可以行手术治疗,而同时进行的肺减容术可以改善肺功能。

关 键 词:慢性阻塞性肺气肿  支气管胸膜瘘  肺减容木  外科治疗  老年人
文章编号:1005-9202(2001)01-0026-02
修稿时间:1999年7月27日

The surgical treatment of the chronic obstructive emphysema accompanied with bronchopleural fistula in old patients
TONG Ti,JI Congde,LIU Wei et al.The surgical treatment of the chronic obstructive emphysema accompanied with bronchopleural fistula in old patients[J].Chinese Journal of Gerontology,2001,21(1):24-25.
Authors:TONG Ti  JI Congde  LIU Wei
Institution:TONG Ti,JI Congde,LIU Wei et al Department of Chest Surgery,The First Hospital of Jilin University,Jilin Changchun 130021
Abstract:Objective To assess the surgical treatment of the chronic obstructive emphysema(COPE) accompanied with bronchopleural fistula in old patients,and investigate the lung function changes after the unilateral lung volume reduction surgery(LVRS).Methods Using the emphysematous bulla ligation and the unilateral lung volume reduction to treat old COPE patients with bronchopleural fistula.Results the surgical effect is confirmed,the postoperative lung function were improved significantly.Conclusions Surgical treatment is a good method to treat the COPE with bronchopleural fistula,and carrying out LVRS while the operation is beneficial to improve the poor lung function.
Keywords:Chronic obstructive emphysema  Bronchopleural fistula  LVRS
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