Mohos Elemér, Szabó Eva, Módi Judit, Beller József, Szabados György, Nagy Attila
Veszprém Megyei Csolnoki Ferenc Kórház Altalános Sebészeti Osztály.
Magy Seb. 2007 Jan;60(1):518-22. doi: 10.1556/MaSeb.60.2007.1.10.
The treatment possibilities of broncho-pleural fistula (BPF) caused by necrotizing pneumonia (NP) are discussed based on the experiences of a case and on the basis of the literature. In case of pleural fluid caused by NP the importance of thoracic drainage and--in selected cases--video assisted thoracoscopy (VATS) are emphasized. If BPF develops and the oxygen saturation in the blood can not be kept on acceptable level because of the large volume of the lost air through the fistula bronchoscopic occlusion of the bronchus leading to the BPF is recommended. In conservative therapy resistant cases thoracotomy can be indicated.
基于一个病例的经验并结合文献，对坏死性肺炎（NP）所致支气管胸膜瘘（BPF）的治疗可能性进行了讨论。对于NP引起的胸腔积液，强调胸腔引流以及在特定病例中电视辅助胸腔镜检查（VATS）的重要性。如果发生BPF且由于通过瘘口大量漏气导致血液中的氧饱和度无法维持在可接受水平，建议对导致BPF的支气管进行支气管镜封堵。在保守治疗无效的病例中，可考虑开胸手术。
