【摘要】 目的 :评价胸腔内灌注异体血对难治性自发性气胸的治疗价值和安全性。方法 :12例难治性气胸患者 ,每例患侧胸腔内灌注同型异体血 4 0 0ml,并与红霉素胸膜固定术比较。结果 :10例治愈 ,治愈率 83.3% ,治愈所需时间 1h～ 2 .5d。 1年随访复发率为 10 %。仅 1例 (8.3% )患者出现较剧烈胸痛 ,无发热、呼吸困难加重、胸内感染等不良反应。治疗效果、愈合时间、不良反应显著优于红霉素胸膜固定术。结论 :胸腔内大量灌注异体血对难治性气胸有良好的治疗效果 ,值得临床推广应用。更多还原

【Abstract】 Objective:To evaluate the value and safety of intrathoracic blood transfusion in the treatment of obstinate pneumothorax.Methods:A dose of 400ml matched blood was poured into the pleural cavity of twelve patients with obstinate pneumothorax.Results:After the transfusion of blood ten patients were cured in l h to 2.5d.The total cure rate was 83.3% and the recurrent rate was 10% with chest pain as only side-effect occurred in 8.3% of the sufferers.Comparatively,the parameters observed in the control group of erythromycin injection were 2～13d,61.5%,25% and 46.2%,respectively.Conclusion:This study shows that transfusion of blood into pleural cavity have a potential role in treating obstinate pneumothorax.更多还原