WANG Xian shu,ZHANG Xiao ru,YANG Zhi guo,et al.The clinical analysis of applying muscle piece pasting to treat various kinds of lung injury in children[J].Journal of Clinical Pediatric Surgery,2013,12(03):214-215.[doi:10.3969/j.issn.1671—6353.2013.03.015]
肌片粘贴法治疗小儿肺损伤的应用分析
- Title:
- The clinical analysis of applying muscle piece pasting to treat various kinds of lung injury in children
- Keywords:
- Thoracic Suegicai Procedures; Lung; Wounds and Injuries; Child
- 摘要:
- 目的分析小儿各种开胸术中肺损伤的修补方法。方法总结了1990年2月至2011年2月本院开胸手术2 400台,在各种开胸术中遇不同程度肺损伤47例,均采用“肌片粘贴”修补。结果所有病例效果满意,随访1~3年,行2次以上肺CT检查,无结节、瘢痕、钙化等不良反应,恢复良好,无死亡病例。结论医用胶肌片粘贴修复小儿开胸术中各种肺破裂伤,方法简单,效果可靠。
- Abstract:
- ObjetiveTo analyze the repair methods of lung injury in various pediatric thoracotomy.Methods2400 cases of pediatric thoracotomy in our department from February 1990 to February 2011 were retrospectively analyzed.47 cases of various degrees of lung injury was encountered and all were repaired by musclepiece pasting.ResultsThe results were satisfactory in all cases after 1 to 3 years followup and more than 2 times lung CT scan.There was no adverse reactions such as nodules,scarring, and calcification, and no death in all cases with good recovery.ConclusionsThe method of muscle piece pasting using medical glue to repair lung injury in pediatric thoracotomy is simple, effective and reliable.
参考文献/References:
1Andrade-Alegre R, Garisto JD, Zebede S. Open thoracotomy and decortication for chronic Empyema[J]. Clinics,2008,63:789—793.
2D Spencer. Empyema thoracis: not time to put down the knife[J].Arch Dis Child,2003,10: 842—843.
3辛育龄.胸膜剥脱术//吴英恺.中国医学百科全书(胸部外科学) [M]. 上海: 上海科学技术出版社, 1991:10.
4刘自强. 小儿脓胸临床分期与早期纤维板剥脱临床疗效探讨[J].第四军医大学学报, 2007, 28: 918.
5林青, 孙忠君, 孙晓玲, 等.局部应用碘伏医用胶治疗脓胸及支气管胸膜瘘[J].中华胸心血管外科杂志, 1999, 15: 156.
6禹亮, 王巨, 祝玉成, 等. 带蒂大网膜治疗肺切除术后支气管胸膜瘘的体会[J].中华胸心血管外科杂志, 1998, 14: 183.
7Shirakusa T, Ueda H, Takata S, et al. Use of pedicled omental flap in treatment of empyema[J].Ann Thorac Surg, 1990, 50: 420—424.
8Hallock GG. Intrathoracic application of the transverse rectus abdominis musculocutaneous flap[J].Ann Plast Surg, 2002, 29: 357—361.
9Amir Abolhoda, Trung D. Bui, Jeffrey C. et al. Pedicled Latissimus Dorsi Muscle Flap, routine Use in HighRisk Thoracic Surgery[J]. Tex Heart Inst J 2009, 36(4): 298—302.
10王贤书, 张晓茹, 杨志国, 等. 应用“肌片粘贴”法治疗小儿重度肺剥脱伤[J].中华急诊医学杂志,2011, 20: 1333—1334.
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