CAJ | 학술논문

目的探讨高位胸腔冲洗在治疗胸部肿瘤术后脓胸中的临床应用价值。方法对16例食管癌切除术后胸内吻合口瘘和3例肺部肿瘤行肺叶切除术后支气管胸膜瘘所导致的脓胸患者行高位胸腔冲洗治疗。结果 3例支气管胸膜瘘患者全部治愈，16例胸内吻合口瘘患者治愈13例，治愈率为81.25%，平均住院日为46天，1例治疗中死于大呕血，1例死于肺部感染、呼吸循环衰竭，另1例放弃治疗出院。结论高位冲洗疗效可靠、操作简单、创伤小，是行之有效的方法。
목적탐토고위흉강충세재치료흉부종류술후농흉중적림상응용개치。방법대16례식관암절제술후흉내문합구루화3례폐부종류행폐협절제술후지기관흉막루소도치적농흉환자행고위흉강충세치료。결과 3례지기관흉막루환자전부치유，16례흉내문합구루환자치유13례，치유솔위81.25%，평균주원일위46천，1례치료중사우대구혈，1례사우폐부감염、호흡순배쇠갈，령1례방기치료출원。결론고위충세료효가고、조작간단、창상소，시행지유효적방법。
Objective　To evaluate clinical value of application of high thoracic washing in treating thoracentesis.Methods　19 thoracensis patients were treated with high thoracic washing, 16 patients were anastomses leakage after esophageaoctomy and 3 patients were bronchopleural fistula after lobeoctomy.Results　3 patients suffering bronchopleural fistula were all cured and 13 of 16 patients of anastomses leakage were cured, with a rate of 81.25%, the average hospital time was 46 days, one patient died of bleeding and one died of lung infection, the other gave up therapy and discharged selfly.Conclusion　Application of high thoracic washing in treating thoracentesis is a way with effect, simple procedue and less complication.