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[肺段及肺叶切除术后远期观察的功能变化]

[Functional changes after segmental and lobar resections of the lungs at remote periods of observation].

作者信息

Evfim'evskiĭ V P, Dmitrenko L V, Nefedov V B

出版信息

Vestn Khir Im I I Grek. 1976 Sep;117(9):13-6.

PMID:997138
Abstract

Clinico-roentgenological and functional studies were carried out in 78 patients 2--12 years following segmental (42 patients) and lobar (3) pneumonectomies for tuberculosis. An analysis of the data obtained indicated that partial pneumonectomies within the boundaries of 1-5 segments per se fail to produce significant disorders in the ventilatory and gas metabolism function of the lung. 2-12 years after the operation the patients show considerable ventilatory reserves. Significant respiratory disorders are observed only in patients with postoperative complications and pathological changes in the lung, pleura and bronchi conditioned by tuberculosis and non-specific lung pathology.

摘要

对78例因肺结核接受肺段切除术(42例)和肺叶切除术(3例)的患者进行了2至12年的临床X线及功能研究。对所获数据的分析表明,在1至5个肺段范围内的部分肺切除术本身并不会对肺的通气和气体代谢功能造成显著紊乱。术后2至12年,患者表现出相当大的通气储备。仅在有术后并发症以及由肺结核和非特异性肺部病变导致的肺、胸膜和支气管病理改变的患者中观察到明显的呼吸紊乱。

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