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慢性脓胸的胸膜剥脱术。基于灌注闪烁扫描术的肺功能研究。

Decortication in chronic pleural empyema. Investigation of lung function based on perfusion scintigraphy.

作者信息

Swoboda L, Laule K, Blattmann H, Hasse J

机构信息

Department of Pulmonary Surgery, University Hospital of Freiburg, FRG.

出版信息

Thorac Cardiovasc Surg. 1990 Dec;38(6):359-61. doi: 10.1055/s-2007-1014050.

Abstract

The study presents measurements in spirometry and scintigraphic lung perfusion, before and after decortication, in 9 patients treated for chronic pleural empyema with special emphasis on measuring changes by perfusion scintigraphy. Preoperatively, the average vital capacity (VC) was 60% and the average FEV1 was 65% of the predicted. Perfusion of the affected side showed an average reduction to 22%. After decortication all functional data showed an improvement (average VC 78.5%, average FEV1 79.5%) the percentage of lung perfusion having increased to a mean of 37.8%.

摘要

该研究展示了9例接受慢性脓胸治疗的患者在胸膜剥脱术前后的肺功能测定和肺灌注闪烁扫描结果,特别着重于通过灌注闪烁扫描测量变化情况。术前,平均肺活量(VC)为预测值的60%,平均第一秒用力呼气容积(FEV1)为预测值的65%。患侧肺灌注平均降低至22%。胸膜剥脱术后,所有功能数据均显示改善(平均VC为78.5%,平均FEV1为79.5%),肺灌注百分比平均增加至37.8%。

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