Emergency treatment of massive pulmonary resection -

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Emergency treatment of massive pulmonary resection

Three group 1 patients, preoperative preparation and anesthesia: preoperative simple drug to stop bleeding in 13 cases, drug plus support bronchial fistula after surgery is not standardized preoperative anti-TB. Tracheal artery embolization in these patients, 2 cases did not meet the bleeding results. Preoperative blood transfusion in 6 cases, most should be in drug treatment after failure of bronchial artery embolization. Embolization may not solve the slightly over 2000ml, rehydration, correction of water,[link widoczny dla zalogowanych], electrolyte acid-base imbalance. Are fundamental problems with venous anesthesia, but some anti-tuberculosis treatment for the time to the maximum limit of anesthesia, double-lumen intubation; intraoperative bronchial continued to attract the operative side up to reduce the degree of aspiration complications. Bloody secretions 300ml. Fourth, determine the site of bleeding: the right to determine site of bleeding. Four treatment of massive hemoptysis, surgical procedures and complications: 13 cases of lobectomy, dust lung resection in 2 cases, after the key Yun, generally based on a combination of factors: active bleeding site is often accompanied by wet surface residue Lo leakage, pulmonary rehabilitation Zhang poor in 3 cases, the exhaust tube drainage after more than can be improved,[link widoczny dla zalogowanych], 2 tone; chest radiograph showed an empty site; bronchial arteriography abnormal; bronchoscopy cases of pulmonary tuberculosis after lobectomy, bronchopleural fistula complicated with empyema. 1 case was observed by three clear bleeding site; by tracheal intubation may also determine which of hemoptysis from the flushing prepared in January after the bronchial stump ligation, partial change of free flap breast surgery, a good side; TB hollow parts may be is greater. Switch to discharge. In addition 1 patient died at 4 months after pulmonary infection of respiratory failure. The most straightforward is the bronchoscopy, the patient can support expansion of the bronchial angiography or C-q The group of 6 patients with definite bronchoscopy, 2 cases of clear ... bronchography, 2 cases of bronchial arteriography clear, 4 cases of 15 patients by disease complications occurred in 5 cases, accounting for 33.3%, 14 cases had hemoptysis immediately disappeared, stoves and empty judge. Situation from the follow-up no case of hemoptysis again, indicating that this group of blood out of 1 case for 2 weeks after sputum elimination. 1 died. 66.7% cure rate in this group, a good part of the blood to determine accurately. Note that the bleeding site and the number of lesions may turn rate of 20% hemostatic rate of 100%. Postoperative survival rate of 93.3%. The patients were followed up directly proportional. 3 years in 10 cases, 1 patient without further hemoptysis. The current treatment of hemoptysis more basic treatment of drug to stop bleeding, drug treatment,[link widoczny dla zalogowanych],, treatment can be ineffective when bronchial artery embolization. Bronchoscopic argon gas-electric coagulation of blood within a ~ tube stent technology, but the high recurrence rate, the reason is the existence of the primary disease. A large hemoptysis surgical indications: So surgery has become a more thorough treatment. Surgical treatment of lung function to the heart and soul, but permits; drugs and artery embolization is ineffective; were to be carried out in an emergency,[link widoczny dla zalogowanych], inadequate preoperative preparation and postoperative complications caused by asphyxia or more often hemoptysis, and recurrent hemorrhagic hypotension anemia; bleeding site clear. Surgery significantly increased regulation. It is reported 18% surgical complications, mortality was 6%,[link widoczny dla zalogowanych], hemoptysis patients reported various indications for emergency surgery are inconsistent, mainly based hemoptysis complicated with empyema and bronchopleural fistula 9%. ... 33.3% postoperative complications in this group, and the life extent of the amount of bleeding site clear, heart and lung function license. Mortality of 6.7% should be implemented as soon as possible. 13.3% of bronchial fistula empyema. Operative [Citation. He sad the second nest, contraindications: diffuse bleeding caused by peripheral lung cancer; secondary to mitral stenosis hum x scoop pulmonary hemorrhage; had systemic bleeding tendency; general condition is poor, compensatory lung function 1. Dingjia An, Wang Xingan, Zheng. Emergency surgical treatment of massive hemoptysis. Tuberculosis insufficiency; site of bleeding can not be determined before surgery. And Respiratory Diseases. 2003,26:294-295. About the lesion is limited to the issue, there are some disputes. We think that the 2. Dingjia An. Jinfeng, Zhang Lei, et al. Emergency treatment of massive pulmonary resection surgery to adapt to specific parts of the blood. Patients with life-threatening, or should actively surgery. But the certificate of lesions. Chinese Journal of Tuberculosis Respiratory Diseases. 1994,17:75-77. Tilt table test in young people with vasovagal syncope the diagnostic value of the Xinjiang Production and Construction Corps Fifth Division Hospital (833400) Gou Chun Ping Zhang Haiping, Wuhan University People's Hospital of Internal Medicine (430060) Liang Jinjun vasovagal faint J ~ (vasovagalsyncope, vvs) is clinically unknown J-if. [] T1 ~ (unexplainedsyncope. Ups) of the common causes [¨. WS young normal population incidence of 15%. Although the prognosis is good. But often recurrent, prone to accidents. Tilt test (headuptilttabletest. 1] Canton r)

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