38例单侧毁损肺的外科治疗

目的　总结单侧毁损肺的外科治疗经验。方法 1982～1998年应用胸膜全肺切除术治疗38例单侧毁损肺。结果 手术失血800～7200ml,1000ml以上27例 (71.0%)，其中，3000ml以上13例 (34.2%)。治愈37例 (97.4%)，死亡1例 (2.6%)，术后并发症者3例 (7.9%)。结论 毁损肺手术难度大，游离肺和处理肺门困难，出血多，术后并发症多。应严格掌握手术指征，作好术中循环监护，积极预防残腔感染。

Analysis in surgical treatment for 38 cases of unilateral destroyed lung

Objective To study the experience of surgical treatment for unilateral destroyed lung.Methods From 1982 to 1998 we performed pleuropneumonectomy to treat 38 cases of unilateral destroyed lung.Results The quantity of operative hemorrhage was 800ml to 7?200ml,over 1?000ml was in 27(71.0%),over 3?000ml was in 13(34.2%). There was a cure rate of 97.4%, a mortality of 2.6%, and an incidence of postoperative complication of 7.9%. Conclusion Pleuropneumonectomy on these cases was very difficult. The main difficulty was dissection of the lung and handling of the hilum. There was loss of a great deal of blood. the incidence of postoperative complication was high. It should be strict to handle the operative indication. Circulation monitoring at operation and meticulous operative procedure were most important. Prevention of intrathoracic infection was of significance.