Department of Thoracic Surgery, Humanitas Gavazzeni Hospital, Bergamo, Italy.
Ann Thorac Surg. 2011 Aug;92(2):e23-5. doi: 10.1016/j.athoracsur.2011.03.047.
We present a case of lower bilobectomy complicated by a large bronchopleural fistula and empyema 1 month after primary surgery. The patient was immediately treated with an open window thoracostomy. After surgical debridement, an Amplatzer Septal Occluder device (AGA Medical Corp, Plymouth, MN) was positioned to close the fistula. Thereafter, the thoracostomy rapidly and spontaneously closed with vacuum-assisted closure therapy.
我们报告了一例下肺叶切除术病例,该病例在初次手术后 1 个月时并发了大支气管胸膜瘘和脓胸。患者立即接受了开窗口式胸廓切开术治疗。在手术清创后,将 Amplatzer 间隔封堵器(AGA Medical Corp,明尼苏达州普利茅斯)放置以封闭瘘口。此后,经真空辅助闭合治疗,胸廓切开术迅速且自发地闭合。