自发性气胸是肺科常见病、多发病,但少数病例表现为顽固性漏气的自发性气胸,成为内科治疗的一大难题。1993年以来,我们利用纤维支气管镜(简称纤支镜)代替胸腔镜局部喷涂立粘妥治疗顽固性自发性气胸8例,取得满意效果,现报道如下。 1 临床资料 1.1 病例选择:本组共8例,男6例,女2例。最大年龄75岁,最小年龄58岁,平均年龄65岁。原发病均为慢性阻塞性肺病。胸腔闭式引流时间超过15天6例,超过30天2例。一月内反复多次发作,胸腔闭式引流次数超过3次者4例。 1.2 材料和方法:(1)药物:采用中外合资制药有限公司生产的立粘妥(Lenital)。(2)方法和步骤:在 Spontaneous pneumothorax is a common lung disease, frequently-occurring disease, but a small number of cases showed refractory spontaneous pneumothorax, become a major problem of medical treatment. Since 1993, we use fiberoptic bronchoscopy (referred to as fiberoptic bronchoscopy) instead of thoracoscopic local spray Li Li proper treatment of refractory spontaneous pneumothorax in 8 cases, and achieved satisfactory results are reported below. 1 Clinical data 1.1 Case Selection: This group of 8 patients, 6 males and 2 females. The oldest is 75 years old, the youngest is 58 years old and the mean is 65 years old. The primary disease are chronic obstructive pulmonary disease. Closed thoracic drainage more than 15 days in 6 cases, more than 30 days in 2 cases. Repeated episodes within a month, closed thoracic drainage more than 3 times in 4 cases. 1.2 Materials and Methods: (1) Drugs: Lenital, manufactured by Sino-foreign joint venture Pharmaceutical Co., Ltd., is used. (2) methods and steps: in