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使用支气管内渡边栓子治疗合并肺气肿的难治性气胸。

Treatment of intractable pneumothorax with emphysema using endobronchial watanabe spigots.

作者信息

Lee Doo Yun, Shin Yu Rim, Suh Jee Won, Haam Seok Jin, Chang Yoon Soo, Watanabe Yoichi

机构信息

Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Korea.

出版信息

Korean J Thorac Cardiovasc Surg. 2013 Jun;46(3):226-9. doi: 10.5090/kjtcs.2013.46.3.226. Epub 2013 Jun 5.

DOI:10.5090/kjtcs.2013.46.3.226
PMID:23772414
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3680612/
Abstract

Prolonged air leakage is a major cause of morbidity in pneumothorax. When conservative management is not effective, surgery should be performed. However, surgery is not appropriate in patients with low pulmonary function. In these patients, occlusion of the airway with endobronchial blockers may be attempted under bronchoscopy. We treated two patients with prolonged air leakage using endobronchial Watanabe spigots under fibrobronchoscopy.

摘要

持续性漏气是气胸发病的主要原因。当保守治疗无效时，应进行手术。然而，对于肺功能低下的患者，手术并不适宜。在这些患者中，可尝试在支气管镜检查下使用支气管内封堵器封堵气道。我们在纤维支气管镜检查下使用渡边支气管内插管治疗了两名持续性漏气患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/3680612/1ae77679b38f/kjtcs-46-226-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/3680612/50a734a6221a/kjtcs-46-226-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/3680612/48b1ab629f91/kjtcs-46-226-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/3680612/1ae77679b38f/kjtcs-46-226-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/3680612/50a734a6221a/kjtcs-46-226-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/3680612/48b1ab629f91/kjtcs-46-226-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ca/3680612/1ae77679b38f/kjtcs-46-226-g003.jpg

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Clinical evaluation of endoscopic bronchial occlusion with silicone spigots for the management of persistent pulmonary air leaks.硅酮栓子内镜下支气管封堵术治疗持续性肺漏气的临床评估
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Treatment of persistent pulmonary air leaks using endobronchial valves.使用支气管内瓣膜治疗持续性肺漏气
Chest. 2009 Aug;136(2):355-360. doi: 10.1378/chest.08-2389. Epub 2009 Apr 6.
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Management of a large bronchopleural fistula using a tracheobronchial stent.
使用气管支气管支架治疗大型支气管胸膜瘘
Heart Lung Circ. 2007 Feb;16(1):57-9. doi: 10.1016/j.hlc.2006.03.011. Epub 2006 Jun 5.
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Treatment of peripheral bronchopleural fistulas with endobronchial occlusion coils.采用支气管内封堵线圈治疗周围型支气管胸膜瘘。
Ann Thorac Surg. 1993 Dec;56(6):1343-7. doi: 10.1016/0003-4975(93)90679-c.
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Treatment strategies for bronchopleural fistula.支气管胸膜瘘的治疗策略。
J Thorac Cardiovasc Surg. 1995 May;109(5):989-95; discussion 995-6. doi: 10.1016/S0022-5223(95)70325-X.