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作者介绍经胸腔镜喷滑石粉治疗109例气胸的经验。男87、女22例。平均年龄41(17~91)岁。首次发生气胸者14例,首次复发者25例,复发2次者36例,复发3次或3次以上者34例。特发性气胸62例,伴有慢性支气管-肺病者35例,严重呼吸功能不全者8例,作人工通气治疗者4例。治疗指征慢性气胸经胸腔引流治疗8天无效;复发性气胸。方法术前给予镇静剂。局麻下自第2前肋间作切口,插入胸腔镜,自肺炎经腋区至肺底部进行检
The author introduces thoracoscopic spray talcum powder treatment of 109 cases of pneumothorax experience. Male 87, female 22 cases. The average age of 41 (17 ~ 91) years old. The first occurrence of pneumothorax in 14 cases, the first recurrence in 25 cases, 36 cases of recurrent 2 times, 3 cases of recurrence or more than 34 cases. 62 cases of idiopathic pneumothorax, 35 cases of chronic bronchopulmonary disease, 8 cases of severe respiratory insufficiency, and 4 cases of artificial ventilation. Indications for treatment of chronic pneumothorax by thoracic drainage for 8 days is invalid; recurrent pneumothorax. Methods Sedation was given preoperatively. Local anesthesia from the first 2 before intercostal incision, insert thoracoscopy, pneumonia from the axillary area to the bottom of the lungs for seizure