CAJ | 학술논문

目的：探讨脏层胸膜纤维板剥脱术治疗慢性脓胸的效果。方法：将62例慢性脓胸患者随机分为治疗组和对照组，各31例。治疗组行全麻下脏层胸膜纤维板剥脱术，部分病例加做肺切除。对照组行脏层、壁层胸膜纤维板同时剥脱。观察手术治疗效果及术后恢复情况、并发症等。结果：治疗组切口感染1例，其余均治愈出院，平均手术时间1.5 h，输血310 mL，引流管拔除时间3.1 d，住院天数12.3 d。对照组4例因术后呼吸衰竭行1～3 d机械通气支持，术后合并多器官功能障碍死亡1例，切口感染4例，平均手术时间2.5 h，输血630 mL，引流管拔除时间5.3 d，住院天数16.7 d。结论：脏层胸膜纤维板剥脱术治疗慢性脓胸并发症少，恢复快，疗效满意。
목적：탐토장층흉막섬유판박탈술치료만성농흉적효과。방법：장62례만성농흉환자수궤분위치료조화대조조，각31례。치료조행전마하장층흉막섬유판박탈술，부분병례가주폐절제。대조조행장층、벽층흉막섬유판동시박탈。관찰수술치료효과급술후회복정황、병발증등。결과：치료조절구감염1례，기여균치유출원，평균수술시간1.5 h，수혈310 mL，인류관발제시간3.1 d，주원천수12.3 d。대조조4례인술후호흡쇠갈행1～3 d궤계통기지지，술후합병다기관공능장애사망1례，절구감염4례，평균수술시간2.5 h，수혈630 mL，인류관발제시간5.3 d，주원천수16.7 d。결론：장층흉막섬유판박탈술치료만성농흉병발증소，회복쾌，료효만의。
Objective:To explore the effect of visceral layer pleural fibreboard stripping operation in the treatment of chronic empyema.Methods:62 patients with chronic empyema were randomly divided into the treatment group and the control group with 31 cases in each.The treatment group was given visceral layer pleural fibreboard stripping operation under general anesthesia, some cases added do pneumonectomy.The control group was given visceral layer and parietal layer pleural fibreboard and desquamation.The surgical treatment effect,postoperative recovery and complications were compared.Results:The treatment group had 1 case of incision infection;the others were cured;the average operation time was 1.5 hours;the blood transfusion was 310 mL;the drainage tube removal time was 3.1 days;the hospitalization time was 12.3 days.In the control group,4 cases of postoperative respiratory failure were given 1 to 3 days mechanical ventilation support;1 case of postoperative combined multiple organ dysfunction was died;4 cases were incision infection;the average operation time was 2.5 hours;the blood transfusion was 630 mL;the drainage tube removal time was 5.3 days;the hospitalization time was 16.7 days.Conclusion:The pleural fibreboard stripping operation in the treatment of chronic empyema has few complications,quick recovery,satisfied curative effect.