经心包内全肺切除治疗中晚期中央型肺癌临床分析
肺癌；心包；全肺切除术,,肺癌；心包；全肺切除术,【摘要】,【关键词】,1临床资料,2结果,3讨论,【参考文献】
【摘要】 目的 探讨经心包内处理肺血管全肺切除术的手术操作、术后呼吸、血气及心功能的变化。方法 回顾性分析42例经心包内全肺切除术患者的临床资料。结果 42例患者术中无一例因心包切开引起不可逆性心律失常，术后并发呼吸衰竭及术后死亡均与切开心包无明显关系。结论 经心包内处理肺血管全肺切除术安全性较好，可提高肺癌切除率、延长术后生存期。【关键词】 肺癌；心包；全肺切除术
Clinical analysis of intrapericardial total pneumonectomy of central lung cancer at intermediate or advanced stage
BI Lei,LV Fanzhen,SHEN Xiaoyong,et al.Department of Thoracic Surgery,Huadong Hospital,Shanghai 200040,China
【Abstract】 Objective To explore the surgical procedure,postoperative respiration,blood gas analysis and heart function changes relevant to intrapericardial total pneumonectomy.Methods To review and analyze the clinical data of 42 cases of the intrapericardial total pneumonectomy.Results No case of nonreversible arrhythmia was caused by pericardiotomy.And we found there was no obvious relationship between pericardiotomy and postoperative failure of respiration and postoperative death.Conclusion Intrapericardial total pneumonectomy is safe,it can raise the pulmonary resection rate and prolong the survival period of the patients. ......
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