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目的:探讨食管癌、贲门癌术后健侧气胸的防治措施。方法:对9例术后健侧气胸的资料进行回顾性分析。结果:气胸多发生于老年伴有肺部疾病者,均经胸腔闭式引流,治愈7例,死亡1例,放弃治疗1例。结论:合并肺部疾患、胸膜炎,长期吸烟是健侧气胸的高危因素,应重视围手术期呼吸道的管理,及时胸穿和胸腔闭式引流是术后健侧气胸及早诊治最直接、最有效的方法。
Objective: To investigate the prevention and treatment of contralateral pneumothorax after esophageal and cardiac cardiac surgery. Methods: Nine cases of contralateral pneumothorax data were retrospectively analyzed. Results: Pneumothorax occurred mostly in elderly patients with pulmonary diseases, were closed by thoracic drainage, 7 cases were cured, 1 died, give up treatment in 1 case. Conclusions: Combined pulmonary disease, pleuritis and long-term smoking are the risk factors for contralateral pneumothorax. Emphasis should be placed on the management of perioperative respiratory tract. Timely thoracentesis and thoracic drainage are the most direct and effective early diagnosis and treatment of contralateral pneumothorax method.