昆明医学院学报2012，Vol.33Issue(3)：36-38,3.
肺切除术后并发支气管胸膜瘘的临床分析
Clinical Analysis of Bronchopleural Fistula after Lung Resection
摘要
Abstract
Objective To retrospectively analyse the experiences in diagnosis and treatment of bronchoplueral fistula (BPF) after lung resection. Methods 18 patients who underwent lung resection at Yunnan Tumor Hospital from January 2003 to December 2010 sufferred bronchoplueral fistula (BPF) . Indications for resection were primary malignancy in 14 patients (77.8%) , pulmonary tuberculosis in 2 patients (11.1%) , destructive lung in 2 patients (11.1 %) . Left lobectomy was performed in 2 patients (11.1%) , left pneumonectomy in 6 patients 03.3%) , right lobectomy in 2 patients (11.1%), right pneumonectomy in 8 patients (44.4%). Surgical method: manual suture in 12 patients (66.7%) , and suture closure devices in 6 patients (33.3%). Results Of the 18 patients with bronchoplcural fistula, 3 patients were cured with injection of biomedical fibrin glue by fiberoptic bronchoscopy, 5 patients underwent conservative treatment, 6 patients underwent the reoperation for closure of fistula, 1 patient was discharged with a chest tube, 3 patients died of respiratory failure and systemic failure. Conclusions Brochopleural fistula after lung resection is a fatal complication with complex etiology, difficult treatment and poor prognosis. When BPF happens, it should be treated actively.关键词
肺切除术/支气管胸膜瘘/治疗Key words
Lung resection/ Bronchial pleural fistula/ Treatment分类
医药卫生引用本文复制引用
钱可宝,张勇,巫正伟,段林灿..肺切除术后并发支气管胸膜瘘的临床分析[J].昆明医学院学报,2012,33(3):36-38,3.基金项目
云南省教育厅科研基金资助项目(06Y116C) （06Y116C）
