Ruffini E, Oliaro A, Mancuso M, Cavallo A, Filosso P, Molinatti M, Maggi G
Department of Thoracic Surgery, University of Turin, Italy.
J Cardiovasc Surg (Torino). 1994 Jun;35(3):257-9.
Pulmonary bleeding from the arterial stump following lung resection is a life-threatening complication requiring immediate surgical correction. Predisposing conditions are almost always represented by bronchopleural fistula and empyema. The operation often represents a major challenge to the thoracic surgeon, because of the choice of the most appropriate surgical access, the optimal technique to control the bleeding, as well as to treat the associated bronchopleural fistula. We present a case of successful treatment of hemorrhage from the pulmonary artery stump associated with BPF and empyema following lobectomy for bronchogenic carcinoma. A standard postero-lateral thoracotomy using the previous incision was used with adequate exposure of the source of bleeding and the bronchopleural fistula.
肺切除术后动脉残端的肺出血是一种危及生命的并发症，需要立即进行手术纠正。诱发因素几乎总是支气管胸膜瘘和脓胸。由于要选择最合适的手术入路、控制出血以及治疗相关支气管胸膜瘘的最佳技术，该手术对胸外科医生来说往往是一项重大挑战。我们报告一例支气管源性肺癌肺叶切除术后成功治疗与支气管胸膜瘘和脓胸相关的肺动脉残端出血的病例。采用之前的切口进行标准后外侧开胸手术，充分暴露出血源和支气管胸膜瘘。
