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低频超声与光动力疗法联合应用预防术后胸腔积脓

[Combined use of low-frequency ultrasound and photodynamic therapy in the prevention of postoperative pleural empyema].

作者信息

Pavlov Iu V, Ablitsov Iu A, Uspenskiĭ L V, Loshchenov V B, Kharnas S S

出版信息

Khirurgiia (Mosk). 2001(4):14-6.

Abstract

Results of surgical treatment of 20 patients with malignant lung tumors operated in N.N. Burdenko faculty surgical clinic were analyzed. The authors have developed the method of prophylaxis of acute postoperative pleural empyemas patented in Russian Federation. This method is: after main stage of operation (lob- or pneumonectomy) pleural cavity in filled with antiseptic solutions (furacillin 1:5000, 0.02% chlorgexidin). 5 ml of photosense (sulfured ftalocyanin of aluminium) were injected in pleural cavity, after it pleural cavity is treated by low-frequency ultrasound. After it the antiseptic is removed and pleural cavity is irradiated by red light with use of KAMIN-VIDEO lamp. In all the 20 operated patients who had undergone sanation of pleural cavity by low-frequency ultrasound and it irradiation by KAMIN-VIDEO lamp the postoperative period was uncomplicated.

摘要

对在N.N.布尔坚科外科临床医院接受手术的20例恶性肺肿瘤患者的手术治疗结果进行了分析。作者研发了一种预防术后急性胸膜脓胸的方法,并已在俄罗斯联邦获得专利。该方法为:在手术主要阶段(肺叶切除术或全肺切除术)后,向胸腔内注入防腐溶液(1:5000的呋喃西林、0.02%的洗必泰)。向胸腔内注入5毫升光感剂(硫化铝酞菁),之后用低频超声对胸腔进行处理。然后将防腐剂抽出,并用KAMIN-VIDEO灯用红光对胸腔进行照射。在所有20例接受了低频超声胸腔清理及KAMIN-VIDEO灯照射的手术患者中,术后恢复均顺利。

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