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[血浆单位在肺和胸膜手术中的应用]

[The use of a plasma unit in surgery of the lung and pleura].

作者信息

Kabanov A N, Kozlov K K, Dombrovskiĭ D R, Krivonosov L K, Belousov A P

出版信息

Grudn Khir. 1989 Sep-Oct(5):44-8.

PMID:2591824
Abstract

On the basis of 35 experiments on dogs and clinical experience in operations on the lungs and pleura in 11 patients with the use of a plasma stream and special miniature nozzles the authors revealed the following: reliable hemostasis and aerostasis in cutting pulmonary tissue and pleura; tissue wounds inflicted by a stream of plasma are sterile; the zone of coagulation necrosis is no larger than 1 mm; healing occurs predominantly according to the type of aseptic productive inflammation with growth of connective tissue into the thermal crust. The operation in all patients was successful, no complications developed. The design of the BCBY-160 plasma apparatus should be improved to make it more compact, to reduce its size.

摘要

基于对狗进行的35次实验以及11例肺部和胸膜手术的临床经验(这些手术使用了等离子流和特殊微型喷嘴),作者发现了以下情况:在切割肺组织和胸膜时能实现可靠的止血和气闭;等离子流造成的组织伤口是无菌的;凝血坏死区域不超过1毫米;愈合主要按照无菌性增生性炎症的类型进行,结缔组织长入热痂。所有患者的手术均成功,未出现并发症。BCBY - 160型等离子设备的设计应加以改进,使其更紧凑,减小尺寸。

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