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《Journal of Clinical Pulmonary Medicine》 2005-01
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Application of BFG in treating intractable pneumothorax under VATS

ZHANG Pu YU Xiaoqian GAO Yun, et al Department of Surgery Maternity & Child Health care Hospital of Zhuhai city, Zhuhai 519000, China  
Objective To examine the efficacy of suturing, electrical coagulating and spreading biological fibrin glue (BFG) on the operation wound surface through thoracoscopy in the treatment of intractable pneumothorax.Methods Thoracoscopying under bicavitary intracheal intubationing general anesthesia, sutured after removing the lungs lesions, coagulated and spreading BGF on the operation wound surface. Results All patients (n=15) had lung expansion. The mean duration of lung expansion was 2.8 ±1.4d (average 1d to 4d). The mean duration of tube thoracostomy prior to treatment was 30.2 ±2d (average 16d to 36d) and after treatment it was shortened to 3.8 ±1.2d (average 3 to 8). No hemorrhage and other severe complications occurred. No case had signs of recurrence in the follow-up of 6 to 12 months. Conclusion Suturing and spreading BGF on the operation wound surface through thoracoscopy is safe and effective in the treatment of intractable pneumothorax and lessens injuries. It shortens the duration of hospital stay.
【CateGory Index】: R655
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