Bronchial intractable pneumothorax balloon positioning combined with autologous blood bronchial occlusion in the therapy of intractable pneumothorax
10.3760/cma.j.issn.1008-6706.2015.15.009
- VernacularTitle:支气管球囊定位联合自体血支气管封堵术治疗难治性气胸
- Author:
Zhenhua CHEN
;
Shaozhang ZHOU
;
Xincai QIU
- Publication Type:Journal Article
- Keywords:
Pneumothorax;
Bronchoscopy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(15):2266-2268
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect and safety of bronchial balloon positioning combined with autologous blood bronchial occlusion in the treatment of intractable pneumothorax.Methods 36 cases of hospitalized patients with refractory spontaneous were collected as the research object,based on the bronchial balloon positioned upstream bronchoscopy combined with autologous blood bronchial occlusion therapy.The efficacy and adverse reac-tions were followed up for one year.Results In the 36 cases of spontaneous pneumothorax in patients with refractory, 30 patients were successfully positioning balloon (83.33%),6 cases of patients who were not successfully positio-ning,were continued with conservative treatment of indwelling thoracic drainage.In 30 patients underwent successful positioning,autologous blood bronchial occlusion were used,and a total of 24 cases (80.0%)patients successfully reduced bubbles escape;6 patients relapsed,who were continued to retainthoracic drainage conservative treatment. Conclusion Bronchial balloon positioning combined with autologous blood bronchial occlusion in the treatment of intractable pneumothorax has accurate positioning and high blocking success rate,and also is safe and effective.It is worth promoting in clinical practice.
