Dumire R, Crabbe M M, Mappin F G, Fontenelle L J
Department of Surgery, USAF Medical Center, Wright-Patterson, OH.
Chest. 1992 Jan;101(1):64-6. doi: 10.1378/chest.101.1.64.
A persistent pulmonary air leak, whether as a result of pulmonary surgery or as a result of a traumatic or spontaneous pneumothorax, is a difficult and frustrating problem to manage. Several therapies have been employed, including thoracotomy and repair of the air leak, prolonged tube thoracostomy suction, and chemical pleurodesis. We report two cases in which patients with a prolonged air leak who were not candidates for thoracotomy had immediate successful treatment with an autologous "blood patch" pleurodesis. An autologous blood patch pleurodesis is, in our limited experience, a simple, painless, inexpensive, and effective treatment for patients with a persistent pulmonary air leak.
持续性肺漏气，无论是肺部手术的结果，还是创伤性或自发性气胸的结果，都是一个难以处理且令人沮丧的问题。已经采用了多种治疗方法，包括开胸手术和气漏修补术、延长胸腔闭式引流抽吸以及化学性胸膜固定术。我们报告两例病例，其中长期漏气且不适合开胸手术的患者通过自体“血补丁”胸膜固定术立即获得了成功治疗。根据我们有限的经验，自体血补丁胸膜固定术对于持续性肺漏气患者是一种简单、无痛、廉价且有效的治疗方法。
