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[自发性气胸的手术治疗适应证与结果]

[Indications and results of surgical treatment of spontaneous pneumothorax].

作者信息

Gänger K H, Stäubli H U, Nachbur B

出版信息

Helv Chir Acta. 1980 Jun;47(1-2):27-31.

PMID:7440204
Abstract

Our own collective of patients parietal pleurectomy in complicated spontaneous pneumothorax during the last 15 years (between 1963-1978) is investigated. There were 253 cases of spontaneous pneumothorax 48 of which (19%) have been operated. Indication for operation followed individual aspects, primarily recurrence, persistent pneumothorax, hematopneumothorax and simultaneous bilateral pneumothorax gave reason for operation. The morbidity (17%) is analysed, long-term results and reasons of recurrence regarding cases of diffuse bullous lung disease are illustrated in two patients. Simple dry sponge abrasio is discussed as an alternative to parietal pleurectomy.

摘要

我们对过去15年(1963年至1978年)间复杂自发性气胸患者行壁层胸膜切除术的情况进行了调查。共有253例自发性气胸患者,其中48例(19%)接受了手术。手术指征依据个体情况而定,主要是复发、持续性气胸、血气胸以及双侧同时发生气胸等情况促使进行手术。分析了其发病率(17%),并通过两名弥漫性肺大疱病患者的病例说明了长期结果及复发原因。文中讨论了单纯干纱布摩擦术作为壁层胸膜切除术的替代方法。

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