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本文报告1978年至1986年9月气管支气管成形术21例。其中气管支气管肺癌18例,粘液表皮样瘤1例,平滑肌瘤1例,错构瘤1例。本组男15例,女6例。年龄24-63岁,平均47.1岁。施行右上叶气管隆突切除重建术2例,左总支气管隆突切除重建术1例,右全肺气管隆突切除4例,右上叶总支气管袖状切除2例,左上叶总支气管袖状切除1例,右上叶袖状切除7例,中叶袖状切除1例,右总支气管下叶袖状切除1例,左总支气管楔形切除1例,气管袖状切除1例。术后8天内死亡3例。本文对手术适应症、麻醉选择、手术体会及术后呼吸道的管理进行了讨论。
This article reports 21 cases of tracheobronchialplasty from 1978 to September 1986. There were 18 cases of tracheobronchial lung cancer, 1 case of mucoepidermoidoma, 1 case of leiomyoma, and 1 case of hamartoma. This group of 15 males and 6 females. Age 24-63 years old, average 47.1 years old. Performed resection and reconstruction of tracheal carina in the right upper lobe in 2 cases, left total bronchial carina resection and reconstruction in 1 case, right whole lung tracheal carina resection in 4 cases, right upper lobe bronchial sleeve resection in 2 cases, left upper lobe and total bronchial sleeve removal. In 1 case, there were 7 cases of right upper lobe sleeve resection, 1 case of middle lobe sleeve resection, 1 case of right total inferior bronchus cuff resection, 1 case of left total bronchus wedge resection, and 1 case of tracheal sleeve resection. Three patients died within 8 days after surgery. This article discusses surgical indications, anesthesia options, surgical experience, and postoperative respiratory management.