Nonami Y, Ogoshi S
Department of Surgery II, Kochi Medical School, Nankoku, Japan.
J Cardiovasc Surg (Torino). 1998 Oct;39(5):695-6.
A case of sustained lung fistula after lung surgery is reported here. This case of a sustained pulmonary fistula was diagnosed by sustained air leak through the chest drain and a positive culture of the drainage fluid. The third re-operation was performed successfully by omentopexy via median sternotomy. Careful postoperative observation with chest radiography, bronchial fiberscopy, and determining whether infection is present in the drainage fluid are important for precise diagnosis and therapy for complications following pulmonary lobectomy.
本文报道了一例肺手术后持续性肺瘘的病例。该例持续性肺瘘通过胸腔引流管持续漏气及引流液培养阳性得以诊断。经正中胸骨切开术行大网膜固定术成功进行了第三次手术。术后通过胸部X线摄影、支气管纤维镜检查仔细观察,并确定引流液中是否存在感染,对于肺叶切除术后并发症的精确诊断和治疗很重要。