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目的探讨肺结核并发中、重度肺功能障碍行全肺切除的有效性。方法在17例患者中,左全肺切除12例,右全肺切除5例。观察其并发症及病死率。结果治愈16例,死亡1例。术后并发心律失常5例,休克2例,肺水肿3例,呼吸功能衰竭2例。结论肺结核并中、重度肺功能障碍行全肺切除术可有效改善患者的肺功能,但并发症多,风险大。术前充分准备,术后加强对并发症的防治是手术成功的关键。
Objective To investigate the effectiveness of total pneumonectomy for pulmonary tuberculosis complicated with moderate and severe pulmonary dysfunction. Methods In 17 patients, 12 cases were left pneumonectomy and 5 cases were right pneumonectomy. Observe the complications and mortality. Results of 16 cases were cured, 1 died. Postoperative arrhythmia in 5 cases, shock in 2 cases, pulmonary edema in 3 cases, respiratory failure in 2 cases. Conclusion Pulmonary tuberculosis and pneumonectomy with moderate and severe pulmonary dysfunction can effectively improve pulmonary function in patients with pulmonary complications. However, there are many complications and risks. Preoperative preparation, enhanced postoperative complications prevention and treatment is the key to successful operation.