肺切除术

Objective: To observe the effect of ketamine on inflammatory factors in pneumonectomy patients under VATS.

目的：观察氯胺酮对胸腔镜下肺叶切除单肺通气病人围术期炎性细胞因子的影响。

Methods:of 70 cases with traumatic pelvic fracture associated with injuries of other organ, 16 were treated by lienectomy, 7 were treated by liver repair, 6 were treated by colon operation, 6 were treated by intestine inosculation, 4 were treated by bladder fistulatome, 10 were treated by ligation of internal iliac arteries, 1 was treated by half-pelvic excision, 4 were treated by angioembolization, 5 were treated by conduction.results: totally 11 cases were dead, death rate was 15.5%.

对71例外伤性骨盆骨折合并其他部位伤的病例进行不同方法的诊治：脾切除16例，肝修补7例，结肠手术6例，小肠修补吻合6例，膀胱造瘘4例，髂内动脉结扎10例，半骨盆离断术1例，髂血管探查取栓4例，胸腔闭式引流5例。结果：全组死亡11例，死亡率15.5%。1例死于肺栓塞，1例死于ards，1例死于mof，8例死于出血性休克。

Results among the 14 patients, 11 were diagnosed with primary lung cancer preoperatively, and 3 with pulmonary cyst.

结果 14例患者中，11例术前诊断为原发性肺癌，3例诊断为肺囊肿；14例患者均行病灶根治性切除手术；4例患者术后接受了2~4个周期的化疗。

Results 57 patients with severe COPD were underwent LVRS, with a goal of resecting 20% to 30% of each lung.

结果 57例重度COPD患者接受肺减容术，切除一侧肺组织的20%~30%。

Double-cavity tracheal cannulas were used during operations to reduce the injury of lung, complete removal of bullas and lung-volume reduction to be done when needed.

术中应用双腔气管插管，减少对肺部的揉搓，彻底切除肺疱，必要时同期行肺减容手术。

Double-cavity tracheal cannulas were used during operations to reduce the injury of lung, complete removal of bullas and lung-volume reduction to be done when needed.

术中应用双腔气管插管，减少对肺部的揉搓，彻底切除肺大疱，必要时同期行肺减容手术。

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。