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目的总结先切断支气管的肺切除术的临床经验。方法开胸后先解剖肺门背侧胸膜,游离、结扎、切断支气管,以爱力斯钳夹住支气管远断端并提起,显露出肺动脉鞘后壁,然后打开肺动脉鞘,在鞘内钝性分离肺动脉下壁,结扎切断肺动脉,行病肺切除。结果 155例患者中术后并发呼吸衰竭1例,死亡1例。无支气管胸膜瘘,无脓胸。结论先切断支气管的肺切除术式较为安全、简便、省时,提高了手术切除率,降低了死亡率和并发症发生。
Objective To summarize the clinical experience of bronchial pneumonectomy. Methods Thoracotomy was followed by dissection of the dorsal pleura of the hilar, free, ligation and disconnection of the bronchus. Elisa was used to clamp the distal end of the bronchus and lift it to expose the posterior wall of the pulmonary artery sheath. The pulmonary sheath was then opened and blunted Separation of the inferior pulmonary artery, ligation of the pulmonary artery cut, pneumonectomy. Results One hundred and five patients died of respiratory failure in one patient. No bronchopleural fistula, no empyema. Conclusion The bronchial pneumonectomy method is safe, simple and time-saving, which increases the rate of resection and reduces the mortality and complications.