Boudrieau R J, Fossum T W, Birchard S J
J Am Vet Med Assoc. 1985 Jan 1;186(1):75-8.
Surgical repair of primary pneumothorax in a dog was performed by a median sternotomy and partial lung lobectomies using an automatic suturing device. A median sternotomy was performed since the location of the lesion was undetermined preoperatively. The automatic suturing device provided a quick, simple, and secure method of performing the partial lobectomies. Ruptured blebs and subpleural emphysema were present in the excised pulmonary tissue. Mechanical pleurodesis was also performed in an attempt to prevent recurrence. Large-gauge orthopedic wire was used to close the sternotomy in order to minimize postoperative complications. On follow-up evaluation 6 months later, the dog was normal.
通过正中胸骨切开术和使用自动缝合装置进行部分肺叶切除术,对一只犬的原发性气胸进行了手术修复。由于术前病变位置未确定,故采用正中胸骨切开术。自动缝合装置为进行部分肺叶切除术提供了一种快速、简单且安全的方法。切除的肺组织中存在破裂的肺大疱和胸膜下肺气肿。还进行了机械性胸膜固定术以试图防止复发。使用大号骨科钢丝关闭胸骨切开术以尽量减少术后并发症。6个月后的随访评估显示,这只犬恢复正常。