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同期外科手术治疗双侧重症肺大疱
引用本文:朱亚玲,张家麒,詹乐寰,许栋生,龚治平,黄怡真. 同期外科手术治疗双侧重症肺大疱[J]. 东南大学学报(医学版), 1997, 0(2)
作者姓名:朱亚玲  张家麒  詹乐寰  许栋生  龚治平  黄怡真
作者单位:南京市胸科医院
摘    要:探讨双侧重症肺大疱患者同期外科手术的可行性、安全性。方法:对6例双侧重症肺大疱患者采用硬膜外加浅全麻,正中切口,同期分侧行肺大疱切除、肺叶切除治疗。结果:全组病人麻醉手术过程平稳。术后1例病人因呼吸功能不全用呼吸机辅助呼吸18d。6例病人全部康复出院。结论:正中切口行双侧重症肺大疱同期手术,既可避免2次手术的风险,又可减轻病人精神、经济负担。

关 键 词:双侧重症肺大疱;同期手术;肺大疱切除;肺叶切除术

One-Stage Operation for Serious Bilateral Bullous Lung Disease
Zhu Yaling,Zhang Jiaqi,Zhan Lehuan,Xu Dongsheng,Gong Zhiping,Huang Yizhen. One-Stage Operation for Serious Bilateral Bullous Lung Disease[J]. Journal of Southeast Univ: Medical Sci Ed, 1997, 0(2)
Authors:Zhu Yaling  Zhang Jiaqi  Zhan Lehuan  Xu Dongsheng  Gong Zhiping  Huang Yizhen
Abstract:Objective:This study aimed to observe safety and availibility of one-stage operation for serious bilateral bullous lung disease.Method:Six patients underwent a procedure of one-stage surgical bullous resection or(and) pulmonary lobectomy on both side through a transsternal approach under an epidural block and light intravenous anesthesia.Result:All patients had a smooth course during anesthesia and operation period.Assistant ventilation was used in one patient for eighteen days because of respiratory failure after operation. All patients recoverd and discharged.Conclusion:This approach of operation for serious bilateral bullous lung disease avoids second operation and lightens patients'burden,both mental and economic.
Keywords:serious bilateral bullous lung disease  one-stage operation  bullous resection  pulmonary lobectomy  
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