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[重复胸腔穿刺术及胸膜全切除术治疗原发性气胸患者——早期结果]

[Repeated paracentesis and total pleurectomy in treatment of patients with primary pneumothorax--early results].

作者信息

Kazimierz C, Jacek G, Marek R, Mariusz L

机构信息

Katedr i Kliniki Chirurgii Klatki piersiowej Slaskiej, Akademii Medycznej w Katowicach.

出版信息

Pneumonol Alergol Pol. 1998;66(5-6):257-64.

PMID:9857644
Abstract

A group of 235 patients were treated between 1981 and 1993 for primary spontaneous pneumothorax. Immediate recovery was obtained in 150 (75%) out of 8 in whom drainage had been applied, and in a total of 79 who had been operated. Fifty of the remaining 52 patients with the first episode of pneumothorax, had repeated paracentesis with no complete lung expansion prior to operation, and 2 were referred to pleural cavity drainage. Three out of 79 operated patients, required re-thoracotomy (2 on the second day, and 1 on the eighth day following operation) because of hemothorax. In 3 patients an infection developed, thereupon a prolonged drainage of pleural cavity was used with good result.

摘要

1981年至1993年间,一组235例原发性自发性气胸患者接受了治疗。在8例接受引流治疗的患者中,有150例(75%)立即康复,另外79例接受了手术治疗。其余52例首次发生气胸的患者中,有50例在手术前反复进行胸腔穿刺但肺未完全复张,2例接受了胸腔引流。79例接受手术的患者中,有3例因血胸需要再次开胸(2例在术后第二天,1例在术后第八天)。3例患者发生感染,随后采用了长时间的胸腔引流,效果良好。

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