Jiang G, Ding J, Zhou X
Department of Thoracic Surgery, Shanghai First Pulmonology Hospital.
Zhonghua Zhong Liu Za Zhi. 1995 Sep;17(5):358-61.
This paper reported the surgical complications of various tracheobronchoplastic procedures in 22 cases between May 1979 to March 1994. The incidence of postoperative complication was 14.5%. The mortality rate was 1.3%. Among them, complications of the respiratory system occurred in 9 cases (41%), cardiovascular system in 4(18%), digestive system in 2(9%), chest incision infection and early recurrence of carcinoma in 1 each (5%) and those due to surgical skill in 5(23%) respectively. Tracheostomy should be done with ventilatory support should be given if early respiratory failure occurred. Particular attention should be paid to prevent fatal complications from detachment of embolus in the pulmonary vein or bronchus. Because of the surgical complications, indications of tracheobronchoplastic procedures for lung cancer should be strictly handled.
本文报道了1979年5月至1994年3月期间22例各种气管支气管成形术的手术并发症。术后并发症发生率为14.5%，死亡率为1.3%。其中，呼吸系统并发症9例（41%），心血管系统并发症4例（18%），消化系统并发症2例（9%），胸部切口感染和癌肿早期复发各1例（5%），手术操作相关并发症5例（23%）。若发生早期呼吸衰竭，应行气管切开并给予通气支持。应特别注意预防肺静脉或支气管栓子脱落导致的致命并发症。鉴于手术并发症，肺癌气管支气管成形术的适应证应严格掌握。
