Kalechenkov M K, Malinovskiĭ A F
Probl Tuberk. 1989(8):45-8.
The frequency of complications in the early postoperative period after resection of the upper and posterior lung segments was investigated in 153 patients with pulmonary tuberculosis. When the operation was performed on the right lung the complications were twice as frequent as in the patients operated on the left lung (65.1 per cent against 33.3 per cent). The difference was defined by the frequency of atelectases. In the operations on the right lung they amounted to 31.7 per cent and were segmental (atelectasis of the anterior segment) while in the operations on the left lung they amounted to 11 per cent and were mainly total. Segmental atelectases of the 3rd segment in the patients operated on the right lung developed due to the peculiar segmental structure of the operated lobe and specific spatial transfer of the remaining anterior segment after its suture. Pleural complications observed in 22.2 per cent of the operated patients were due to the non-hermetic primary suture in the lung.
对153例肺结核患者进行了上叶和后叶肺段切除术后早期并发症发生率的调查。右肺手术患者的并发症发生率是左肺手术患者的两倍（65.1%对33.3%）。这种差异是由肺不张的发生率决定的。右肺手术中肺不张发生率为31.7%，且为节段性（前段肺不张），而左肺手术中肺不张发生率为11%，主要为全肺不张。右肺手术患者中第3段的节段性肺不张是由于手术肺叶独特的节段结构以及剩余前段缝合后特定的空间移位所致。22.2%的手术患者出现的胸膜并发症是由于肺的一期缝合不严密所致。
