自发性气胸；胸膜固定术；胸导管引流；滑石粉_

微创胸导管引流并胸膜固定术治疗复发性自发性气胸

http://www.100md.com 《东南国防医药》 2005年第3期

自发性气胸；胸膜固定术；胸导管引流；滑石粉,,]自发性气胸；胸膜固定术；胸导管引流；滑石粉,[摘要],[关键词],1对象与方法,2结果,3讨论,参

     [摘要]目的探讨复发性自发性气胸安全、有效的治疗方法。方法1998年3月至2004年1月，对32 例复发性自发性气胸患者经微创胸导管引流，在局麻下用消毒医用滑石粉行胸膜固定术。结果32例均经一次性固定成功，其中2例双侧病变者，相继于不同侧行胸膜固定术。常见并发症有胸痛100%(32例)和发热100%(32例)，均可经对症处理而缓解。随访6个月至6年，无1例复发。结论微创胸导管引流并胸膜固定术是复发性自发性气胸安全、有效的治疗方法。

     [关键词]自发性气胸；胸膜固定术；胸导管引流；滑石粉

    The treatment of recrudescent spontaneous pneumothorax with talc powder pleurodesis after miniinvasive chest duct draining

    LI Weiliang, LI Yonghua, YANG Yubo,et al.

    Respiratory Department，the 113th Hospital of PLA, Ningbo 315040，Zhejiang,China

    [Abstract]ObjectiveTo explore the strategy of treatment of recrudescent pneumothorax. MethodsBetween March 1, 1998, and January 1,2004,32 patients with recrudescent spontaneous pneumothorax underwent disinfectant medicinal talc powder pleurodesis under local anaesthesia after miniinvasive chest duct draining.ResultsIt was found that the talc powder pleurodesis in 32 cases was achieved successfully with 2 cases undergoing bilateral procedures. The common complications were chest pain (32 cases) and fever (32 cases) which all could be reduced or controlled after proper treatment. None was found recurrence once more followed up for 6 months to 6 years after pleurodesis.ConclusionsOur results suggest that talc powder pleurodesis after miniinvasive chest duct draining may be a safe and effective method for the treatment of recrudescent spontaneous pneumothorax. ......

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