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咯血的急诊外科治疗
引用本文:段长华,陈吉华,朱家光. 咯血的急诊外科治疗[J]. 中国基层医药, 2008, 15(11)
作者姓名:段长华  陈吉华  朱家光
作者单位:1. 奉化市人民医院心胸外科,浙江省奉化,315500
2. 奉化市人民医院麻醉科,浙江省奉化,315500
摘    要:目的 探讨大咯血的急诊外科治疗方法.方法 通过对24例大咯血出血部位的判断,对手术时机的选择、病肺叶切除的范围进行分析.结果 24例大咯血患者急诊外科治疗均获成功.并发症发生率为8.3%(2/24).结论 对于内科治疗无效的大咯血,出血部位明确者急诊病肺叶切除效果好,可有效地降低死亡率.

关 键 词:咯血  急诊处理  外科手术

Emergency surgical treatment of hemoptysis
DUAN Chang-hua,CHEN Ji-hua,ZHU Jia-guang. Emergency surgical treatment of hemoptysis[J]. Chinese Journal of Primary Medicine and Pharmacy, 2008, 15(11)
Authors:DUAN Chang-hua  CHEN Ji-hua  ZHU Jia-guang
Abstract:Objective To explore discussion medical treatment in massive hemoptysis emergency surgical treatment.Methods Hemorrhage parts,timing of surgery,pneumonectomy scope in 24 cases of massive hemoptysis were analyzed.Results 24 cases of massive hemoptysis emergency surgical treatment were successful,no death and complication rate was 8.3% (2/24).Conclusion For medical treatment ineffective massive hemoptysis determine the location of the bleeding,actively carry out preoperative preparation, choosing the best opportunity emergency resection of lung disease,can be effective in reducing mortality.
Keywords:Hemoptysis  Emergcncy treatment  Surgical procedures,operative
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