| 开胸术后复张性肺水肿的探讨 |
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| 引用本文： | 刘洪,赵凤瑞,郭作文,刘德若,张银合,张伟.开胸术后复张性肺水肿的探讨[J].中日友好医院学报,2001,15(1):21-23. |
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| 作者姓名： | 刘洪 赵凤瑞 郭作文 刘德若 张银合 张伟 |
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| 作者单位： | 1. 青岛市肿瘤医院胸外科,
2. 中日友好医院胸外科, |
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| 摘 要： | 目的：探讨开胸手术中单侧肺萎陷，术后肺复张导致急性肺水肿的发病机理、诊断治疗及预防。方法：对5例开胸术后复张性肺水肿患者进行总结，3例为胸腔镜辅助下胸膜固定术后，2周为食管癌根治术后，结果：常规单侧肺萎陷的开胸手术均可能发生轻重不一的复张性肺水肿。结论：可通过术中定期（以间隔30min为宜）肺复张以及术后渐进性肺复张等措施来减低复张性肺水肿的发生率。
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| 关 键 词： | 剖胸手术 肺 萎缩 复张性肺水肿 |
| 文章编号： | 1001-0025(2001)01-0021-03 |
| 修稿时间： | 2000年12月21 |
Analysis for reexpansion pulmonary edema following thoracotomy |
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| LIU Hong,ZHAO Feng rui,GUO Zuo wen,et al.Analysis for reexpansion pulmonary edema following thoracotomy[J].Journal of China-Japan Friendship Hospital,2001,15(1):21-23. |
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| Authors: | LIU Hong ZHAO Feng rui GUO Zuo wen et al |
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| Abstract: | Objective:To investigate the principle of diagnosis,treatment and prevention of reexpansion pulmonary edema(RPE)following thoracotomy.The lung had been shrunk in these operations.Methods:Five patients got RPE,three of those were performed the pleurodesis with thoracoscope,and two patients were performed esophagectomy for treatment of esophageal carcinoma.Results:RPE related to the pulmonary shrink,for the shrinkable pulmonary tissues was hypoxemic and increased the permeability of the pulmonary capillary,hence caused RPE.The pulmonary shirnk caused a greater or lesser degree of RPE in conventional thoracotomy.Conclusion:To reduce the incidence of RPE,it is important to expand the lung intermittently and slowly during operation. |
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| Keywords: | thoracotomy lung shrink reexpansion pulmonary edema |
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