Shrager Joseph B, DeCamp Malcolm M, Murthy Sudish C
Division of Thoracic Surgery, Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford Hospitals and Clinics, 2nd Floor, Falk Building, 300 Pasteur Drive, Stanford, CA 94305-5407, USA.
Thorac Surg Clin. 2009 May;19(2):223-31, ix. doi: 10.1016/j.thorsurg.2009.02.004.
Air leaks after pulmonary surgery represent a substantial clinical problem. When they persist beyond a few days, air leaks appear to increase complications and costs. Clearly, emphysema patients are those at greatest risk for developing problematic air leaks. This article, after reviewing what is known about the epidemiology and clinical significance of air leaks, discusses the various techniques that may be employed to avoid the development of problematic air leaks and to manage them when they do occur. It reviews the data available on newer and more traditional options for the prophylaxis and management of air leaks and offers the authors' opinions about the optimal approaches in various clinical situations.
肺手术后的漏气是一个严重的临床问题。当漏气持续数天以上时，似乎会增加并发症和成本。显然，肺气肿患者是发生有问题漏气的风险最高的人群。本文在回顾了关于漏气的流行病学和临床意义的已知信息后，讨论了可用于避免出现有问题的漏气以及在漏气发生时进行处理的各种技术。它回顾了有关预防和处理漏气的更新和更传统方法的现有数据，并就各种临床情况下的最佳方法提出了作者的意见。
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