胸膜摩擦术：一种新的胸膜固定术方法。
Pleural abrasion: a new method of pleurodesis.
作者信息
Nkere U U, Griffin S C, Fountain S W
机构信息
Department of Thoracic Surgery, Harefield Hospital, Middlesex.
出版信息
Thorax. 1991 Aug;46(8):596-8. doi: 10.1136/thx.46.8.596.
Abstract
Sixty patients (48 male, 12 female; median age 32 (range 16-72) years) underwent pleural abrasion for persistent or recurrent pneumothorax. Fifty patients had recurrent pneumothorax and 10 persistence of a first pneumothorax despite conservative treatment; two had bilateral pneumothoraces. Pleural abrasion was carried out with a domestic nylon scouring pad and blebs or bullae were ligated or stapled and excised. Intercostal drainage was discontinued after a median time of two days, median serosanguinous loss was 250 ml, and the median postoperative stay in hospital was four days. During the median follow up period of 32 (range 19-52) months pneumothorax has recurred in one patient.
摘要
60例患者（男48例，女12例；年龄中位数32岁（范围16 - 72岁））因持续性或复发性气胸接受了胸膜摩擦术。50例患者为复发性气胸，10例为首次气胸经保守治疗后仍持续存在；2例为双侧气胸。使用国产尼龙百洁布进行胸膜摩擦术，并对肺大疱或肺气囊进行结扎、缝合或切除。肋间引流在中位时间2天后停止，中位血性胸腔积液量为250 ml，术后中位住院时间为4天。在中位随访期32个月（范围19 - 52个月）内，有1例患者气胸复发。
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