[右肺切除术后对侧气胸一例]

[A case of contralateral pneumothorax after right pneumonectomy].

作者信息

Nishiuchi S, Kanemitsu H, Okazaki T, Shinkai M, Fujiwara H, Nasu M, Shoumura T

机构信息

Department of Thoracic Surgery, Kobe City General Hospital, Japan.

出版信息

Kyobu Geka. 1996 Aug;49(9):725-8.

PMID:8741451

Abstract

A 46-year old man, who had a history of right pneumonectomy for pulmonary tuberculosis 28 years ago, was referred to our hospital for surgical treatment of contralateral pneumothorax. The patient underwent multiple excisions of bullae and parietal pleurectomy through the median sternotomy in order to save pulmonary function. The postoperative course was satisfactory as he could maintain preoperative pulmonary function. He returned to his work soon. We consider that the median sternotomy would be the most useful approach to save pulmonary function of patients who plan to undergo surgical treatment of contralateral pneumothorax after pneumonectomy.

摘要

一名46岁男性，28年前因肺结核接受了右肺切除术，现因对侧气胸被转诊至我院接受手术治疗。为了保留肺功能，患者通过正中胸骨切开术接受了多次肺大疱切除术和壁层胸膜切除术。术后恢复过程令人满意，因为他能够维持术前的肺功能。他很快就重返工作岗位。我们认为，对于计划在肺切除术后接受对侧气胸手术治疗的患者，正中胸骨切开术是保留肺功能最有效的方法。