Clinical observation of lung abscesses secondary to pulmonary bulla treated through chest wall and airway intervention (29 cases)
10.3969/j.issn.1007-1989.2016.06.024
- VernacularTitle:经胸壁、气道介入治疗肺大疱性肺脓肿的临床观察（附29例报告）
- Author:
Wenxia HU
;
Hui JIN
;
Pule JIN
- Keywords:
lung;
bulla;
abscess;
methylene blue;
intervention
- From:
China Journal of Endoscopy
2016;22(6):97-100
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of locating the target bronchus and treating through the chest wall and airway intervention in 29 cases with lung abscess secondary to pulmonary bulla. Methods In 29 cases the lung abscess secondary to pulmonary bulla had a mean diameter of 14 cm, of which 25 with COPD. Implement-ing 4 different ways to locate the target bronchus of lung abscess: Preoperative pulmonary CT, conventional fiber bronchoscopy, and locating the target bronchus by infecting colored saline separately forward and backward. Under guiding of CT, the central venous catheter was inserted via chest wall into lung abscess, which had pus suction, lavage, medicine injection and continuous negative pressure suction and then under direct vision of bronchoscopy, all of the target bronchi of pulmonary absess were occluded with fibrin glue. Results All of the 29 cases, the target bronchi of lung abscess were localized by lung CT in 17, by conventional bronchoscopy in 23, and by infecting col-ored saline forward in 26 and backward in 24 respectively. Cured in 25 and improved in 3, the total effective rate was 96.6%. The adverse effects:chest pain in 3, pneumothorax in 2, pyothorax, pyopneumothorax, subcutaneous em-physema, the drainage catheter falling off and dislocating separately in 1. Conclusion It was simple, safe and effec-tive to treat lung abscess secondary to lung bulla through the chest wall and airway intervention.
