肺切除术

Objective To explore the feasibility of partial resection of left atrium for local advanced lung cancer.

目的：分析部分左心房切除的全肺扩大切除术治疗局部晚期肺癌的可行性。

FPLT could be obtained after PLE was injected to the target lung, and target bronchia obstructed with broncho-occluder by catheter.

结论通过靶肺支气管肺泡灌注PLE后靶支气管封堵器堵塞可达到功能性肺叶切除术目的。

It is very important to perform operation carefully for the patients with gravis pulmonary bulla as the symptoms worsen.

所有患者均常规开胸行标准肺大疱切除术，15例患者术后出现呼吸衰竭，给予辅助机械通气，1例患者行气管切开。

On the basis of our experience from this study and the unpredictable nature of hemodynamic deterioration, we suggest that patients undergoing pulmonary embolectomy should be prepared and draped before GA induction, and a cardiac surgical team should immediately be available for emergent institution of cardiopulmonary bypass.

以我们这项研究经验为基础结合血流动力学恶化的不可预测性，我们建议行肺栓子切除术的患者在全麻诱导前应该准备并且消毒铺巾，心脏外科医生根据需要应立即可到，进行心肺转流术。

Results There were 28 of 30 patients (93.3%) who underwent pneumonectomy and pericardiotomy or pericardium injury with ST segments shifted up horizontally or hollowly.

结果 30例肺切除同时行心包部分切除或有心包外损伤的患者中，28例(93.3％)术后ST段较术前呈水平或上凹形抬高。

Objective: To provide anatomic basis for seeking for intersegmental plane of bronchopulmo-nary segments in segmentectomy of right lung.

目的：为右肺肺段切除术寻找肺段段间平面提供解剖学基础。

Ve To seek intersegmental plane of bronchopulmonary segments for left lung.

目的 为左肺肺段切除术寻找肺段段间平面提供解剖学基础。

The management for extralobar pulmonary sequestration and bronchogenic cyst located at the extrathorax and mediastinum was simple resection. For congenital adenomatoid malformation, intrapulmonary bronchogenic cyst and intralobar pulmonary sequestration, total lobectomy was done. All the 10 patients are living well now, after from 6 months to 7 years of follow-up.

手术方式为对胸腔外及纵隔腔的支气管囊肿和肺叶外的肺隔离囊肿採取简单切除术；对先天性腺瘤状畸形、肺內支气管囊肿和肺叶內的肺隔离囊肿採取肺叶切除。10例经电话追踪，从6个月至7年不等，其发育、运动均与正常儿童无异。

（1）Bullae of lung ruptured spontaneous pneumothorax is the best indication for VATS,which has the advantages of less trauma and ache,short operation time,quick recovery and small incision;（2）Recurrent unilateral spontaneous pneumothorax with contineous air leakage of 7 days after closed thoracic drainage,bilateral spontaneous pneumothorax should be treated by VATS;（3）Spontaneous pneumothorax with pleura adhesion can be treated by pneumonolysis and bullae of lung excision under thoracoscopy assisted small incision operation.

疗效满意。结论：（1）肺大泡破裂自发性气胸是胸腔镜手术最佳的适应证，与传统开胸手术相比，胸腔镜手术具有患者创伤小，手术时间短，术后疼痛轻，康复快，符合美容要求等特点；（2）反复发作的单侧自发性气胸，行胸腔闭式引流术后持续漏气7d，双侧自发性气胸，不论是否同时发作都可考虑胸腔镜手术治疗；（3）自发性气胸并胸膜粘连可用胸腔镜辅助小切口行粘连松解肺大泡切除术；（4）为减少一次性材料的消耗，降低手术成本，可辅助小切口使用常规胸科手术器械完成手术；（5）为减少术后复发率需行胸膜固定术。

Objective:To analysis some major problems of anesthetic management in patients with bullae undergoing thoracoscopic instrumentation.

目的探讨胸腔镜下肺大泡切除、肺修补术麻醉管理中应注意的问题。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。