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肺曲菌球的外科治疗

The surgical treatment of pulmonary aspergillomas.

作者信息

Garvey J, Crastnopol P, Weisz D, Khan F

出版信息

J Thorac Cardiovasc Surg. 1977 Oct;74(4):542-7.

PMID:904352
Abstract

During a 4 year period 11 patients underwent 12 operations for pulmonary aspergillomas. The usual reason for operation was hemoptysis--massive or moderate. There was one death after operation and two complications. One patient since has an aspergilloma on the opposite side and has recurrent hemoptysis. There may be an increasing incidence of aspergillomas secondary to a larger number of open negative tuberculosis patients in the population. The mortality rate from operation is under 10 percent, and the complications in the saprophytic infestation are few. Surgery is the preferred treatment for the good-risk patient.

摘要

在4年期间,11例患者因肺曲菌球接受了12次手术。手术的常见原因是咯血——大量或中度咯血。术后有1例死亡和2例并发症。1例患者后来在对侧出现曲菌球并再次咯血。由于人群中开放性肺结核阴性患者数量增加,曲菌球的发病率可能会上升。手术死亡率低于10%,腐生感染的并发症较少。对于风险较低的患者,手术是首选治疗方法。

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