Vasilev B, Chalŭkov P
Khirurgiia (Sofiia). 1990;43(3):48-52.
Indications are presented for operative intervention, as well as some of the more important debatable problems in the surgical tactics and approach to firearm thoracic injuries. Emphasizing the need of differential approach and thorough preoperative preparation, the authors outline the modern trends in their operative management. On the basis of clinical, functional and X-ray methods of examination, the results of pneumorrhaphy in isolated lung injuries are evaluated. The experience of radical operative treatment of firearm lung wound, for which thoracotomy is indicated, by attempting typical pulmonary resection, is backed with arguments.
本文介绍了手术干预的指征，以及火器性胸部损伤手术策略和入路中一些较为重要的有争议问题。作者强调了区别对待和充分术前准备的必要性，概述了手术治疗的现代趋势。基于临床、功能和X线检查方法，评估了单纯肺损伤肺修补术的结果。通过尝试典型的肺切除术，对有开胸指征的火器性肺损伤进行根治性手术治疗的经验提供了论据支持。
