Fosse E, Fjeld N B
Thoraxkirurgisk avdeling, Kirurgisk klinikk, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1991 Sep 10;111(21):2632-3.
During a six year period 18 patients were operated by decortication of the lung. Eight patients had empyema, five were decorticated for postoperative/posttraumatic formation of haematoma. Four patients had restrictive pleuritis and one patient was operated due to insufficient expansion of the lung after operation for emphysematous bullae. After the decortication, one patient developed empyema and one septicemia, but both these patients were treated successfully. The median postoperative stay in hospital was 13 (7-84) days. Decortication should be considered for patients with empyema or pleural haematoma if the pleural effusion persists after more than one week of adequate drainage.
在六年期间,18例患者接受了肺剥脱术。8例患者患有脓胸,5例因术后/创伤后血肿形成而接受剥脱术。4例患者患有局限性胸膜炎,1例患者因肺气肿大疱手术后肺扩张不足而接受手术。剥脱术后,1例患者发生脓胸,1例患者发生败血症,但这两名患者均得到成功治疗。术后中位住院时间为13(7 - 84)天。如果在充分引流一周以上后胸腔积液仍持续存在,对于患有脓胸或胸膜血肿的患者应考虑进行剥脱术。