肺切除术后支气管胸膜瘘12例临床分析

目的　探讨肺切除术后发生支气管胸膜瘘的有关因素。方法　对 1 2例肺切除术后支气管胸膜瘘的临床资料进行回顾分析。结果　支气管内膜结核、主气管肿瘤、术中污染及术后胸腔积液是高危因素。结论　肺结核术前正规有效抗结核≥ 3个月 ,合并支气管内膜结核应超声雾化吸入 ,术中尽量减少胸腔污染 ,避免支气管残端肿瘤或结核的残留 ,术后彻底引流胸腔积液能降低支气管胸膜瘘的发生

Clinical Analysis of 12 Cases with Bronchopleural fistula after Pulmonary Resection

Objetive To probe into some factors on bronchopleural fistula after pulmonary resection. Methods Clinical data of 12 cases with bronchopleural fistula after pulmonary resection were analyzed. Results Bronchus membrane tuberculosis, main trachea cancer, contamination in surgical operation and pleural effusion after the operation were the most dangerous factors. Conclusions Before pulmonary resection, the efficient tuberculosis-resistant should be taken for more than 3 months. Patients with bronchus membrane tuberculosis should take in ultrasonic fog. During operation, pleural contamination should be reduced and the cancer in the end of bronchus or remains of tuberculosis should be avoided. After pulmonary resection, pleural effusion drainage thoroughly was necessary to avoid bronchopleural fistula.