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聚四氟乙烯条带肺固定术用于巨大气肿性肺大疱切除术

Teflon strip pneumostasis for excision of giant emphysematous bullae.

作者信息

Parmar J M, Hubbard W G, Matthews H R

机构信息

Department of Thoracic Surgery, East Birmingham Hospital.

出版信息

Thorax. 1987 Feb;42(2):144-8. doi: 10.1136/thx.42.2.144.

DOI:10.1136/thx.42.2.144
PMID:3324378
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC460648/
Abstract

Excision of giant emphysematous bullae commonly results in a persistent air leak that requires prolonged intercostal drainage and delays recovery. To minimise this we have used Teflon (polytetrafluoroethylene) strips to buttress the suture line and secure pneumostasis. During 1976-84 eight bullae were excised in seven patients. One patient had bilateral staged thoracotomies. All chest drains were removed within eight days (mean 4.5 days) and no patient developed pulmonary complications. At long term follow up (1-9 years, mean 5.5 years) no complications attributable to the Teflon felt have been identified.

摘要

巨大气肿性肺大疱切除术通常会导致持续性漏气,这需要长时间的肋间引流并延迟恢复。为了将此情况降至最低,我们使用了聚四氟乙烯条来支撑缝合线并确保肺静态。在1976年至1984年期间,对7例患者的8个肺大疱进行了切除。1例患者接受了双侧分期开胸手术。所有胸腔引流管均在8天内(平均4.5天)拔除,没有患者出现肺部并发症。在长期随访(1至9年,平均5.5年)中,未发现与聚四氟乙烯毡相关的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/460648/4333a425d08e/thorax00254-0067-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/460648/25d2cab65c2c/thorax00254-0065-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/460648/ab48df28bd6e/thorax00254-0066-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/460648/cedfd0cd4b80/thorax00254-0066-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/460648/4673844d43dd/thorax00254-0067-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/460648/4333a425d08e/thorax00254-0067-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/460648/25d2cab65c2c/thorax00254-0065-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/460648/ab48df28bd6e/thorax00254-0066-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/460648/cedfd0cd4b80/thorax00254-0066-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/460648/4673844d43dd/thorax00254-0067-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce47/460648/4333a425d08e/thorax00254-0067-b.jpg

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Teflon strip pneumostasis for excision of giant emphysematous bullae.聚四氟乙烯条带肺固定术用于巨大气肿性肺大疱切除术
Thorax. 1987 Feb;42(2):144-8. doi: 10.1136/thx.42.2.144.
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[Surgical treatment of giant emphysematous bullae (author's transl)].巨大气肿性肺大疱的外科治疗(作者译)
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引用本文的文献

1
Intracavity drainage for bullous, emphysematous lung disease: experience with the Brompton technique.大疱性肺气肿性肺病的腔内引流:布罗姆普顿技术的经验
Thorax. 1988 Dec;43(12):998-1002. doi: 10.1136/thx.43.12.998.
2
Origin and behaviour of emphysematous bullae.肺大疱的起源与行为
Thorax. 1989 Jul;44(7):533-8. doi: 10.1136/thx.44.7.533.

本文引用的文献

1
The results of surgical treatment of large air cysts of the lung.肺大泡的外科治疗结果
Br J Dis Chest. 1963 Apr;57:79-85. doi: 10.1016/s0007-0971(63)80018-2.
2
Surgical treatment of emphysematous bullae: late outcome.肺大疱的外科治疗:远期疗效
Thorax. 1983 Feb;38(2):134-7. doi: 10.1136/thx.38.2.134.
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Surgical treatment of bullous emphysema.大疱性肺气肿的外科治疗。
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Effective surgical palliation of giant compressive bullous emphysema (vanishing lung syndrome): long-term follow-up.巨大压迫性肺大疱(消失肺综合征)的有效手术姑息治疗:长期随访
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Surgical treatment for pulmonary emphysema.肺气肿的外科治疗。
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9
Intracavity suction and drainage in the treatment of emphysematous bullae.腔内吸引引流术治疗肺大疱
Thorax. 1977 Dec;32(6):668-72. doi: 10.1136/thx.32.6.668.