Tanaka F, Wada H, Hitomi S, Itoh M
Department of Thoracic Surgery, Kyoto University, Japan.
Chest Surg Clin N Am. 1995 Nov;5(4):797-813.
Chronic obstructive lung disease (COLD) is a clinical entity characterized by chronic airway obstruction that includes pulmonary emphysema and chronic bronchitis with airway obstruction. Although most complications are treated medically, there are a few cases in which medical treatment is not effective and surgical treatment is necessary. Most complications of COLD requiring surgical treatment are those associated with bullous emphysema, such as pneumothorax, lung carcinoma associated with bulla, and infection of bulla. In this article, the indications, practical aspects, and problems and risks of surgical treatment for complications of COLD are discussed.
慢性阻塞性肺疾病（COLD）是一种以慢性气道阻塞为特征的临床病症，包括肺气肿和伴有气道阻塞的慢性支气管炎。虽然大多数并发症采用药物治疗，但也有少数病例药物治疗无效而需要手术治疗。COLD需要手术治疗的大多数并发症是与大疱性肺气肿相关的并发症，如气胸、与肺大疱相关的肺癌以及肺大疱感染。本文讨论了COLD并发症手术治疗的适应证、实际操作、问题及风险。
