Autologous blood patch pleurodesis in spontaneous pneumothorax with persistent air leak.
Autologous blood patch pleurodesis in spontaneous pneumothorax with persistent air leak.
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自体血补片胸膜固定术治疗持续漏气的自发性气胸。
DOI：
10.1080/14017439850140210
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
T. Buduneli
中科院分区：
文献类型：
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作者：
U. Çağırıcı;B. Sahin;A. Çakan;H. Kayabaş;T. Buduneli
在1993-1996年对167例因自发性气胸行胸腔插管造口术的患者进行的一项前瞻性研究系列中，32例患者（年龄范围16-79岁，平均年龄45.5岁）接受自体血补片胸膜固定术治疗持续性漏气。27例（84%）患者在胸膜固定术后72小时内漏气停止。漏气持续时间明显短于单纯引流组（P < 0.01）。脓胸发生在三个病例中，两个胸膜固定术失败的患者需要开胸手术。9名患者出现轻微并发症，主要是发热和胸腔积液。胸膜固定术期间或之后均不需要镇痛或镇静。在12-48个月的观察期间没有气胸复发，而22例患者在简单引流后复发。血斑胸膜固定术是一种简单、有效、无痛的气胸治疗方法，但增加了胸腔感染的风险。
In a prospective study series of 167 patients with tube thoracostomy for spontaneous pneumothorax in 1993-1996, 32 patients (age range 16-79 years, mean age 45.5 years) were treated with autologous blood-patch pleurodesis for persistent air leak. In 27 (84%) of cases the air leak ceased within 72 h after the pleurodesis. The duration of air leak was significantly shorter (p < 0.01) than in simple drainage. Empyema developed in three cases, and two patients with failed pleurodesis required open thoracotomy. Minor complications, mainly fever and pleural effusion, occurred in nine patients. Neither analgesia nor sedation was required during or after pleurodesis. There was no recurrence of pneumothorax during 12-48 months of observation, whereas simple drainage was followed by recurrence in 22 patients. Blood-patch pleurodesis is a simple, effective and painless method in pneumothorax, but carries an increased risk of intrathoracic infection.