A case of refractory pneumothorax treated by autologous blood occlusion surgery under bronchoscope
Refractory pneumothorax means that patients with spontaneous pneumothorax continue to leak after thoracic puncture and drainage,and the treatment methods are limited.At present,there are three main methods for medical treatment of refractory pneumothorax,which are thoracic puncture and aspiration,catheter drainage and pleurodesis surgery.Thoracoscopic surgery or thoracotomy is the main surgical treatment.With the rapid development of bronchoscopic interventional diagnosis and treatment,selective bronchial occlusion surgery and autologous blood occlusion surgery have brought new treatment methods to patients with refractory pneumothorax who have many underlying diseases,poor cardiopulmonary functions and subjective will not accept or tolerate surgery because of their advantages of less trauma,high safety and good therapeutic efficacy.A case of 50-year-old middle-aged male patient undergoing closed thoracic drainage and pleurodesis for repeated pneumothorax is reported in this paper.The therapeutic efficacy is not satisfactory and the symptoms are repeated.After the treatment method of balloon exploration and positioning,and autologous blood occlusion surgery under bronchoscope,the patient's pneumothorax is absorbed and effectively cured after operation.
万方数据
维普
