Kageyama Y, Matsushita K, Kita Y, Ooi S, Toyoda F, Nogimura H, Suzuki K, Kazui T
First Department of Surgery, Hamamatsu University School of Medicine, Japan.
Kyobu Geka. 1997 Dec;50(13):1152-5.
A 74-year-old male was admitted to our hospital because of left pneumothorax with persistent air leakage. He had undergone negative pressure drainage, chemical pleurodesis and transbronchial embolization in another hospital. Chest X-ray and CT scan showed collapse of the left lung and a defect of the pleura in the left lung S9. Patch closure was performed for the round pleurobronchial fistula (35 x 35 mm in size) using polyglycol acid felt and fibrin glue. But as severe air leakage was observed again about 24 hours after surgery, omentopexy was performed. The postoperative course was uneventful, and he was discharged 17 days after the second surgery.
一名74岁男性因左侧气胸伴持续性漏气入住我院。他曾在另一家医院接受过负压引流、化学性胸膜固定术和经支气管栓塞术。胸部X线和CT扫描显示左肺萎陷，左肺S9区胸膜有缺损。使用聚乙醇酸毡和纤维蛋白胶对圆形胸膜支气管瘘（大小为35×35mm）进行补片修补。但术后约24小时再次观察到严重漏气，遂行大网膜固定术。术后过程顺利，二次手术后17天出院。
