论文部分内容阅读
为探讨肺容积减少术治疗晚期慢性阻塞性肺病的疗效。１９９６年７月至１９９７年１０月期间为７例慢性阻塞性肺病病人施行肺容积减少术，其中同期双侧３例，单侧４例。为控制肺切面漏气，采用钳闭器并衬以牛心包片。切除一侧肺容积约２０％～３０％。结果：无手术死亡。２例术后并发急性呼吸衰竭，治愈。随访４～１６个月，平均９．９个月。ＦＥＶ１和ＭＶＶ分别增加了７６．４％和２５．４％，ＲＶ和ＴＬＣ明显下降（２．７％和１７．１％），ＰａＯ２增加了１．４４ｋＰａ，病人气急好转，活动能力及生活质量提高。本组随访期较短，但结果证明肺容积减少术对有适应证的慢性阻塞性肺病者疗效明显
To investigate the lung volume reduction in the treatment of advanced chronic obstructive pulmonary disease. Between July 1996 and October 1997, 7 patients with chronic obstructive pulmonary disease underwent lung volume reduction surgery, including 3 bilateral and 4 unilateral patients in the same period. In order to control the pulmonary section leakage, using a clamp and lined with bovine pericardium. Excision of lung volume on the side of about 20% to 30%. Results: No operative death. 2 cases were complicated by acute respiratory failure and cured. Follow-up 4 to 16 months, an average of 9.9 months. FEV1 and MVV increased by 76.4% and 25.4%, RV and TLC decreased significantly (2.7% and 17.1%, PaO2 increased by 1.44kPa, the patient’s mood was improved, activity and quality of life improved . The follow-up period of this group is short, but the results show that lung volume reduction surgery indications of chronic obstructive pulmonary disease patients with significant effect