Denck H
Krankenhaus Lainz, I. Chirurgische Abteilung, Wien.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1989:195-8.
Our experience with 224 decortications performed between 1957 and 1987 is reported. Insufficient drainage of tuberculous and unspecific pleural empyema was the main indication. Haemothorax, pleural loculation and chronic serofibrinous pleuritis were indications of secondary importance. Mortality following decortication was on the order of 0.1% and postoperative morbidity, 3%. However, in the past 10 years there has been a general reduction of aggressive surgical treatment. Whereas decortication and thoracoplasty account for 12% and 4% respectively of our surgical pulmonary procedures, therapy with closed-tube drainage has increased to 84%.
本文报告了1957年至1987年间进行的224例胸膜剥脱术的经验。结核性和非特异性胸膜脓胸引流不畅是主要适应症。血胸、胸膜腔包裹和慢性浆液纤维蛋白性胸膜炎是次要适应症。胸膜剥脱术后死亡率约为0.1%，术后发病率为3%。然而，在过去10年中，积极的外科治疗总体上有所减少。在我们的肺部外科手术中，胸膜剥脱术和胸廓成形术分别占12%和4%，而闭式引流治疗已增至84%。
