Berthoumieu F, Gaillard J, Fournal G, Eschapasse H
Poumon Coeur. 1979;35(2):77-9.
Emphysematous bullae isolated on a healthy lung and primitive progressive dystrophic emphysema all belong to the dystrophic hyperlucent lung and are surgical cases. Having recalled the excellent prognosis of isolated bullae, the authors analyzed the surgical indications in the progressive dystrophic emphysema concerning 66 observations of which 52 cases were operated. They showed that surgery provided many improvements and that making a pleural adhesion during the intervention limited the bullous evolution of the disease. Results plead in favour of early interventions and wider indications.
孤立于健康肺组织上的肺大疱以及原发性进行性营养不良性肺气肿均属于营养不良性透亮肺,均为手术适应症。回顾孤立性肺大疱的良好预后后,作者分析了66例进行性营养不良性肺气肿患者的手术适应症,其中52例接受了手术。他们表明,手术带来了许多改善,并且在干预过程中进行胸膜粘连可限制疾病的肺大疱进展。结果支持早期干预和更广泛的适应症。