Tamaki Masafumi, Miura Kazumasa, Norimura Shoko, Kenzaki Koichirou, Yoshizawa Kiyoshi
Department of Chest Surgery, Takamatsu Red-cross Hospital, Takamatsu, Japan.
Kyobu Geka. 2014 Mar;67(3):229-32.
A 49-year-old woman was referred to our hospital because of empyema. A chest drainage tube inserted and lavage performed. Her general condition improved but the infection and a major air leakage remained. On the 10th day after chest drainage, we performed thoracoscopic debridement and occlusion of bronchopleural fistulas using cellulose oxidized( Surgicel) and fibrin glue. Expansion of the lung and the improvement of inflammation were observed. but a major air leakage remained. On 29th postoperative day, we performed bronchial embolization using endobronchial Watanabe spigot (EWS). The leakage stopped the 7 days after bronchial embolization, we removed chest tube and 10 days after bronchial embolization she was discharged.
一名49岁女性因脓胸被转诊至我院。插入胸腔引流管并进行灌洗。她的一般状况有所改善，但感染和严重漏气仍存在。胸腔引流术后第10天，我们使用氧化纤维素（外科用止血纱布）和纤维蛋白胶进行了胸腔镜清创和支气管胸膜瘘封堵术。观察到肺扩张和炎症改善，但严重漏气仍存在。术后第29天，我们使用渡边支气管内栓子（EWS）进行了支气管栓塞术。支气管栓塞术后7天漏气停止，我们拔除了胸腔引流管，支气管栓塞术后10天她出院了。
