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目的 探讨肺切除术后发生支气管胸膜瘘的有关因素。方法 对 1 2例肺切除术后支气管胸膜瘘的临床资料进行回顾分析。结果 支气管内膜结核、主气管肿瘤、术中污染及术后胸腔积液是高危因素。结论 肺结核术前正规有效抗结核≥ 3个月 ,合并支气管内膜结核应超声雾化吸入 ,术中尽量减少胸腔污染 ,避免支气管残端肿瘤或结核的残留 ,术后彻底引流胸腔积液能降低支气管胸膜瘘的发生
Objective To investigate the related factors of bronchopleural fistula after pneumonectomy. Methods The clinical data of 12 cases of bronchopleural fistula after pneumonectomy were retrospectively analyzed. Results Endobronchial tuberculosis, the main tracheal tumor, intraoperative pleural effusion and postoperative pleural effusion were risk factors. Conclusions For patients with pulmonary tuberculosis, the effective anti-TB is preoperatively effective for 3 months or longer. Tuberculous endobronchial tuberculosis should be nebulized by nebulization. Minimal intra-pulmonary contamination should be avoided during surgery to prevent residual stump or tuberculosis of the bronchus. The occurrence of bronchopleural fistula