心包内全肺切除治疗中央型肺癌

本文报道临床Ⅲ期中央型肺癌行心包内全肺切除术29例,占同期全肺切除的40.3％。本组手术切除均成功,无一例发生手术死亡和手术并发症。近期效果满意。文中重点讨论了心包内全肺切除适应症、手术注意点、手术前心肺功能的估计和术后病情的观察处理;术前肺功能检查最大通气量占预计值50％以上;肺活量、通气储备百分比在50％以上者,手术是安全的,术后发生肺功能代偿不全或呼衰不常见。

TREATMENT OF CENTRICAL LUNG CARCINOMA WITH INTRAPERICARDIAL PNEUMONECTOMY

28 of 79 patients operated on for centrical carcinoma of lung from Janua ry 1981 through November 1989 in our department,were approached by intra-pericardial pneumouectomy, which accounted for 40.3%, of pneumonectomy at the same period of time. None of them died of operation or developed complication. The operative procedure is described, and operative indications, and essentials will be discussed.