巨大气肿性肺大疱的手术治疗：病例报告及文献复习。
Surgery for giant emphysematous bullae: case report and a short literature review.
机构信息
1 Department of Thoracic Surgery, 2 Department of Respiratory Medicine, Daping Hospital, Third Military Medical University, Chongqing 400042, China.
出版信息
J Thorac Dis. 2014 Jun;6(6):E104-7. doi: 10.3978/j.issn.2072-1439.2014.04.39.
Abstract
Giant bullous emphysema (GBE), known as 'vanishing lung syndrome', usually occurs in association with chronic obstructive pulmonary disease (COPD). In this report, we describe a patient with giant emphysematous bulla occupying approximately 95% of the right hemithorax, who had history of repeated attacks of acute exacerbation of COPD. About 95% of right pulmonary parenchyma was removed. Delightfully, the 5% of residual lung compressed for 4 years gradually inflated, and occupied the whole hemithorax. Preoperatively he was functionally and clinically severely disabled while improved markedly after bullectomy.
摘要
巨大肺大疱（GBE），又称“消失肺综合征”，通常与慢性阻塞性肺疾病（COPD）相关。在此报告中，我们描述了一位患者，其右侧胸腔约 95%被巨大气肿性肺大疱占据，该患者有反复发作的 COPD 急性加重病史。约 95%的右肺实质被切除。令人高兴的是，受压 4 年的 5%的残肺逐渐膨胀，占据了整个胸腔。术前患者功能和临床状况严重受限，但肺大疱切除术后明显改善。
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