Cagirici U, Sahin B, Cakan A, Kayabas H, Buduneli T
Department of Thoracic Surgery, Thoracic Surgery Teaching Hospital, Izmir, Turkey.
Scand Cardiovasc J. 1998;32(2):75-8. doi: 10.1080/14017439850140210.
In a prospective study series of 167 patients with tube thoracostomy for spontaneous pneumothorax in 1993-1996, 32 patients (age range 16-79 years, mean age 45.5 years) were treated with autologous blood-patch pleurodesis for persistent air leak. In 27 (84%) of cases the air leak ceased within 72 h after the pleurodesis. The duration of air leak was significantly shorter (p < 0.01) than in simple drainage. Empyema developed in three cases, and two patients with failed pleurodesis required open thoracotomy. Minor complications, mainly fever and pleural effusion, occurred in nine patients. Neither analgesia nor sedation was required during or after pleurodesis. There was no recurrence of pneumothorax during 12-48 months of observation, whereas simple drainage was followed by recurrence in 22 patients. Blood-patch pleurodesis is a simple, effective and painless method in pneumothorax, but carries an increased risk of intrathoracic infection.
在一项对1993 - 1996年因自发性气胸行胸腔闭式引流术的167例患者的前瞻性研究系列中，32例患者（年龄范围16 - 79岁，平均年龄45.5岁）因持续性漏气接受了自体血贴片胸膜固定术治疗。在27例（84%）病例中，胸膜固定术后72小时内漏气停止。漏气持续时间明显短于单纯引流（p < 0.01）。3例发生脓胸，2例胸膜固定术失败的患者需要开胸手术。9例患者出现轻微并发症，主要是发热和胸腔积液。胸膜固定术期间及术后均无需镇痛或镇静。在12 - 48个月的观察期内气胸无复发，而单纯引流术后有22例复发。自体血贴片胸膜固定术是治疗气胸的一种简单、有效且无痛的方法，但胸腔内感染风险增加。
