中国医药科学2024，Vol.14Issue(6)：194-198,5.DOI:10.20116/j.issn2095-0616.2024.06.45
支气管镜下自体血封堵术治疗难治性气胸1例
A case of refractory pneumothorax treated by autologous blood occlusion surgery under bronchoscope
摘要
Abstract
Refractory pneumothorax means that patients with spontaneous pneumothorax continue to leak after thoracic puncture and drainage,and the treatment methods are limited.At present,there are three main methods for medical treatment of refractory pneumothorax,which are thoracic puncture and aspiration,catheter drainage and pleurodesis surgery.Thoracoscopic surgery or thoracotomy is the main surgical treatment.With the rapid development of bronchoscopic interventional diagnosis and treatment,selective bronchial occlusion surgery and autologous blood occlusion surgery have brought new treatment methods to patients with refractory pneumothorax who have many underlying diseases,poor cardiopulmonary functions and subjective will not accept or tolerate surgery because of their advantages of less trauma,high safety and good therapeutic efficacy.A case of 50-year-old middle-aged male patient undergoing closed thoracic drainage and pleurodesis for repeated pneumothorax is reported in this paper.The therapeutic efficacy is not satisfactory and the symptoms are repeated.After the treatment method of balloon exploration and positioning,and autologous blood occlusion surgery under bronchoscope,the patient's pneumothorax is absorbed and effectively cured after operation.关键词
选择性支气管封堵术/自体血封堵术/难治性气胸/球囊探查Key words
Selective bronchial occlusion surgery/Autologous blood occlusion surgery/Refractory pneumothorax/Balloon exploration分类
医药卫生引用本文复制引用
黄婷苑,李文新,何桂媛,曾玲,彭倩茹,曾凡军..支气管镜下自体血封堵术治疗难治性气胸1例[J].中国医药科学,2024,14(6):194-198,5.基金项目
湖北省宜昌市医疗卫生研究项目(A23-1-003). （A23-1-003）
