尼日利亚的肺切除术：适应症与结果
Pneumonectomy in Nigeria: indications and results.
作者信息
Adebonojo S A, Osinowo O, Adebo O A
出版信息
J Natl Med Assoc. 1979 Nov;71(11):1077-80.
This report reviews the authors' experience with 35 pneumonectomies over a ten-year period at the University College Hospital, Ibadan, Nigeria. The most common indications for pneumonectomy were TB-destroyed lung and life threatening pulmonary hemorrhage due to suppurative lung disease. Malignant tumors of the lung were featured twice as the cause for pneumonectomies in this study.Results show that until 1973, when most pneumonectomies were performed for TB-destroyed lungs, the mortality rate was nine percent, but after 1973, when more pneumonectomies were performed for life threatening hemoptysis, the mortality rose to 29 percent.From this study, it will appear that penumonectomy carries a grave prognosis when performed for suppurative lung disease, when there is active and massive hemorrhage, and when performed under emergency conditions.
本报告回顾了作者在尼日利亚伊巴丹大学学院医院十年间进行35例肺切除术的经验。肺切除术最常见的指征是肺结核毁损肺以及因化脓性肺病导致的危及生命的肺出血。在本研究中，肺癌作为肺切除术的病因出现的频率是其他病因的两倍。结果显示，直到1973年，大多数肺切除术是针对肺结核毁损肺进行的，死亡率为9%，但1973年之后，更多的肺切除术是针对危及生命的咯血进行的，死亡率升至29%。从这项研究来看，当针对化脓性肺病、存在活动性大量出血以及在紧急情况下进行肺切除术时，预后似乎很严峻。
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