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[慢性脓胸:我们一步手术的关键点及结果]

[Chronic empyema: key-point and results of our one-step operation].

作者信息

Sawamura K, Mori T, Iuchi K, Tada H, Lee Y E, Mizuta T, Ichimiya A

出版信息

Nihon Geka Gakkai Zasshi. 1985 Sep;86(9):1064-6.

PMID:4088209
Abstract

A new operative method named as "Extraperiosteal air plombage" against chronic empyema were performed to 80 patients and its cure rate by the first operation was 93.8% which is a good and high rate. Know-how to perform the operation without failure is (1) to complete the excoriation of the pleural debris, (2) to seal completely the leakage such as bronchiolar fistula, (3) to perform the extraperiosteal abbration rather over much to attach the lung to the muscle layer, (4) to close the chest wall completely, and (5) to wash out thoroughly the extraperiosteal cavity with brush and enough saline solution and to use the effective antibiotica.

摘要

一种名为“骨膜外充气填充术”的治疗慢性脓胸的新手术方法应用于80例患者,首次手术治愈率为93.8%,这是一个很高的良好治愈率。确保手术成功的要点如下:(1)彻底清除胸膜碎片;(2)完全封闭支气管瘘等渗漏处;(3)尽量多地进行骨膜外剥离以使肺与肌肉层贴合;(4)完全关闭胸壁;(5)用刷子和足够的生理盐水彻底冲洗骨膜外腔,并使用有效的抗生素。

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1
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Nihon Geka Gakkai Zasshi. 1985 Sep;86(9):1064-6.
2
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