中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2012年
1期
93-95
,共3页
慢性阻塞性肺疾病%自发性气胸%肺功能%直线钉合器
慢性阻塞性肺疾病%自髮性氣胸%肺功能%直線釘閤器
만성조새성폐질병%자발성기흉%폐공능%직선정합기
Chronic obstructive pneumonia disease%Spontaneous pneumothorax%Lung zunction%Linear nailing
目的 探讨重度慢性阻塞性肺疾病(COPD)并发自发性气胸的外科手术方法及疗效.方法 分析16例重度COPD患者的临床资料和手术效果.结果 全组围术期无死亡并均痊愈出院.14例出院时主观症状、运动及耐受力等肺功能指标较并发气胸前有明显改善和提高,2例肺功能恢复到以前水平.结论 重度COPD并发自发性气胸可适当放宽肺功能指标,尽早开胸手术,建议使用直线钉合器并行简单肺减容术,可缩短手术时间,改善肺功能,减少手术风险.
目的 探討重度慢性阻塞性肺疾病(COPD)併髮自髮性氣胸的外科手術方法及療效.方法 分析16例重度COPD患者的臨床資料和手術效果.結果 全組圍術期無死亡併均痊愈齣院.14例齣院時主觀癥狀、運動及耐受力等肺功能指標較併髮氣胸前有明顯改善和提高,2例肺功能恢複到以前水平.結論 重度COPD併髮自髮性氣胸可適噹放寬肺功能指標,儘早開胸手術,建議使用直線釘閤器併行簡單肺減容術,可縮短手術時間,改善肺功能,減少手術風險.
목적 탐토중도만성조새성폐질병(COPD)병발자발성기흉적외과수술방법급료효.방법 분석16례중도COPD환자적림상자료화수술효과.결과 전조위술기무사망병균전유출원.14례출원시주관증상、운동급내수력등폐공능지표교병발기흉전유명현개선화제고,2례폐공능회복도이전수평.결론 중도COPD병발자발성기흉가괄당방관폐공능지표,진조개흉수술,건의사용직선정합기병행간단폐감용술,가축단수술시간,개선폐공능,감소수술풍험.
Objective To explore the surgical methods and its efficacy on severe chronic obstructive pneumonia disease (COPD) with spontaneous pneumothorax.Methods Clinical features and surgical efficacies of 16 cases of severe COPD were analyzed.Results No death occurred and all patients recovered and discharged.The lung function index including subjective symptoms,motor ability and endurance in 14 cases showed obvious improvement compared with those before combination of pneumothorax.Two patients improved to the level before surgery.Conclusion The lung function index of patients with severe COPD and pnumothorax can be relatively less restricted and open-chest surgery should be performed as soon as possible.Linear nailing and simple lung volume reduction surgery are recommended to improve lung function,shorten operation time and reduce surgical risks.
