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zhong du fei qi zhong he bing nan zhi xing qi xiong 11 li xing dan ce fei jian rong shu xiao guo fen xi
Author(s): 
Pages: 517-518
Year: Issue:  6
Journal: Journal of Nantong University(Medical sciences)

Keyword:  重度慢性阻塞性肺气肿自发性气胸单侧肺减容术;
Abstract: 目的:探讨单侧肺减容术治疗肺气肿合并气胸的疗效.方法:重度肺气肿合并气胸11例患者行单侧肺减容术,手术采用国产直线缝合器(部分加用自体肺大疱组织作垫片)将靶区肺组织切除,切除肺组织占患侧肺组织体积20%~35%,部分病例缝合与肺大疱相连的支气管.结果:全组无住院死亡病例,无气胸复发,呼吸困难指数从Ⅲ、Ⅳ级转至Ⅰ、Ⅱ级,肺功能第1秒肺活量从0.84±0.32 L增加到1.06±0.34 L,残气量从4.12±0.45 L降到2.58±0.56 L.肺总量从7.71±0.91 L降到5.78±0.98 L,PaO2 61.5±7.2 mmHg上升到70.3±6.5 mmHg、PaCO2从46.6±4.3 mmHg降到41.8±4.1mmHg(P均<0.05).术后活动能力、生活质量明显提高.结论:单侧肺减容术治疗重度肺气肿合并难治性气胸疗效确切.
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