Contamination of pleural space is not the contraindication to reoperation.Reclosure via original thoracotomy and repair the fistula with pedicled intercostal muscle flap are convenient and efficient.

 
  • 發(fā)生于術(shù)后1個(gè)月內的支氣管胸膜瘺,如無(wú)明顯膿性胸液,病人有足夠的心肺儲備可以耐受再次手術(shù),應該急診再次手術(shù)關(guān)閉瘺口,胸膜腔污染不是再次手術(shù)禁忌證,經(jīng)原后外側切口使用肋間肌瓣加強和修補瘺口是有效和便捷的。
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