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[胸腔镜下二氧化碳激光在胸膜腔积脓联合治疗中的应用]

[The thoracoscopic use of the CO2 laser in the combined treatment of pleural empyema].

作者信息

Kabanov A N, Kozlov K K, Kotov I I, Gal'perin A M, Kabanov A A, Kosterina L D, Sitnikova V M

出版信息

Grud Serdechnososudistaia Khir. 1991 Nov(11):47-51.

PMID:1764313
Abstract

A new method for treating acute pneumothorax with a bronchopleural fistula was experimentally developed and clinically tested. It is based on thoracoscopic use of CO2 laser radiation. The laser beam energy is employed for evaporation of necrotic tissues in the area of pulmonary destruction, "welding" of the bronchopulmonary fistulae, and general irradiation of the empyema cavity with a defocused beam. Nineteen patients with various disease duration were treated. In 16 patients the bronchial fistulae and the empyema cavity were eliminated and the lung re-expanded. The purulent inflammation in the pleural cavity was acute in these cases.

摘要

一种治疗伴有支气管胸膜瘘的急性气胸的新方法已通过实验研发并进行了临床测试。该方法基于胸腔镜下使用二氧化碳激光辐射。激光束能量用于肺组织破坏区域坏死组织的汽化、支气管肺瘘的“焊接”,以及用散焦光束对脓腔进行全面照射。对19例病程各异的患者进行了治疗。16例患者的支气管瘘和脓腔得以消除,肺重新复张。这些病例中胸腔内的化脓性炎症为急性。

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Grud Serdechnososudistaia Khir. 1991 Nov(11):47-51.
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