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耐火性肺切除术后肺气与支气管支气管的管理
Oleg Shamilevich Kesaev1, Dmitry Borisovich Giller1, Sergey Sergeevich Saenko2
1Department of Phthisiopulmonology and Thoracic Surgery Named after M.I. Perelman I.M. Sechenov First Moscow State Medical University (Sechenov University), Rostov-on-Don, Russia.
在结核病治疗后,一个具有挑战性的持续性支气管茎 (BSF) 和肺气的病例需要复杂的跨胸切除. 这次成功的干预突显了需要改进 BSF 治疗的必要性.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
背景情况:
- 手术后的肺和支气管茎 (BSF) 是肺切除术后的严重并发症,特别是在结核病化疗后.
- 标准治疗方法包括重新截肢,内支气管植入和胸腔切除在这个病人身上失败了.
研究的目的:
- 报告一个成功的替代性外科手术方法,用于复杂的耐火性BSF和empyema病例.
- 为了强调管理BSF结核病后肺切除术的挑战.
主要方法:
- 一名39岁的女性患者因肺结核而接受了右肺切除术,随后患上了BSF和.
- 记录了多次传统疗法失败的尝试.
- 进行了一种技术上要求很高的气管分支的跨胸透心形切除术.
主要成果:
- 通过跨的跨切除成功治疗了BSF和empyema.
- 这种复杂的程序是有效的,尽管之前的治疗失败.
结论:
- 复杂的BSF带有肺结核带来了重大管理挑战.
- 对于BSF来说,急需新的,更安全的,技术要求较低的干预措施.
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