关键词: 结核, 肺/外科学, 肺切除术

Abstract: ObjectiveTo summarize the experience of surgical treatment for unilateral tuberculous destroyed lung. MethodsForty-eight patients with unilateral tuberculous destroyed lung were treated by pneumonectomy,and the clinical data was analyzed retrospectively.ResultsPneumonectomies in 48 cases were successful, and pleuropneumonectomies in 36 cases were performed.The peri-operative bleeding amount ranged from 500ml to 5300ml.Postoperative short-term complications occured in 12 cases(25%),including 3 acute pulmonary oedema,4 respiratory failure, 3 empyema,and 2 mediastinal flutter. Postoperative long-term complication was constrictive pericarditis in 1 case (2.1%).Forty-five cases were cured(93.8%), 2 cases died(4.2%).ConclusionThe patients with unilateral tuberculous destroyed lung whose medical therapy is failed should be performed surgical treatment if their cardio-pulmonary function are compensative. The rate of complication and mortality are acceptable.

Key words: tuberculosis,pulmonary/surgery, pneumonectomy