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32例单侧毁损肺手术治疗效果的临床分析
引用本文:师文超,陈和忠. 32例单侧毁损肺手术治疗效果的临床分析[J]. 医学理论与实践, 2010, 23(12)
作者姓名:师文超  陈和忠
作者单位:1. 江苏省丰县中医院胸外科,221700
2. 上海市第二军医大附属长海医院胸心外科
摘    要:目的:临床分析单侧毁损肺行全肺切除术的必要性。方法:对单侧毁损肺行全肺切除术治疗32例患者,总结分析术前、术后检查如肺功能、血气分析PO2、血氧饱和度的变化,来分析临床治疗的效果。结果:32例未出现手术死亡及严重并发症,其中胸液引流量多4例;少量咳血6例,经治疗7~14d治愈;切口愈合不良2例,经敞开引流换药后约一周二次缝合愈合良好。随访6~12个月,3例出院后仅能生活自理,不能从事体力活动;余29例均可从事一般体力活动。结论:单侧毁损肺应尽早考虑单侧毁损肺行全肺切除治疗是有必要性的。

关 键 词:毁损肺  肺功能  血气分析  全肺切除

Clinical Analysis of Surgical Treatment for 32 Cases With Isolated Destroyed Lung
SHI Wenchao,CHEN Hezhong. Clinical Analysis of Surgical Treatment for 32 Cases With Isolated Destroyed Lung[J]. The Journal of Medical Theory and Practice, 2010, 23(12)
Authors:SHI Wenchao  CHEN Hezhong
Affiliation:SHI Wenchao,CHEN Hezhong.Department of Thoracic Surgery,The trditional Medicine Hospital of Feng Country,Jiangsu Province 221700
Abstract:Objective:To analyze the results and indications of surgical treatment in isolated destroyed lung.Methods:32 patients performed for isolated destroyed lung resection were reviewed.The perioperative pulmonary function,PO2 in artery blood gas analysis,and SiO2 were assessed focusing on the changes.The surgical results were sought to be analyzed.Results:No surgery related death and serious early complications happened among all patients.Delayed thoracic drainage occurred in 4 cases,mild hemoptysis happened in ...
Keywords:Isolated destroyed lung  Perioperative pulmonary function  Surgical treatment  
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