Vejlsted H, Halkier E
Thorac Cardiovasc Surg. 1985 Dec;33(6):335-6. doi: 10.1055/s-2007-1014161.
Patients with continuous expansion of either giant lung cysts or areas of localized bullous emphysema will eventually deteriorate into a state of extreme respiratory distress due to compression of the remaining healthy pulmonary tissue. Thirty-one patients with these 2 types of lung disease having very poor respiratory function underwent surgery for the release of compromised healthy lung by resection of the expanding processes. A rational investigation program including respiratory tests, ventilation and perfusion scintigraphy and pulmonary angiography was gradually developed and analyzed. Surgical mortality was 12.9% in unilateral operations, probably somewhat higher in later contralateral interventions. The operative risk was higher in the emphysema group than in the group with giant lung cysts. Follow-up has demonstrated encouraging results in both groups concerning increased pulmonary function as well as improved working capacity.
患有巨大肺囊肿或局限性肺气肿区域持续扩大的患者，最终会因剩余健康肺组织受到压迫而恶化为极度呼吸窘迫状态。31例患有这两种呼吸功能极差的肺病患者接受了手术，通过切除扩张病变来解除对健康肺组织的压迫。一个包括呼吸测试、通气和灌注闪烁扫描以及肺血管造影的合理研究方案逐渐得以制定和分析。单侧手术的手术死亡率为12.9%，在随后的对侧手术中可能略高。肺气肿组的手术风险高于巨大肺囊肿组。随访结果表明，两组在肺功能增强和工作能力改善方面都取得了令人鼓舞的成果。
