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KMID : 0364019730060020165
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Korean Journal of Thoracic and Cardiovascular Surgery
1973 Volume.6 No. 2 p.165 ~ p.169
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Surgical Treatment of Emphysematous Bullae
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金炯默/Kim, H.M.
柳熙悼/盧聖翼/李京燦/Yoo, H.T./Roh, S.I./Lee, K.C.
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Abstract
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The selection and treatment with resection and drainage for patients with emphysematous bullae is discussed with reference to two patients recently. One case with bilateral multiple bullous emphysema resulting tension pneumothorax due to rupture of the bullae on right, 47 year old man with pulmonary tuberculosis history for 16 years, was treated with resection of the bullae on right including upper lobectomy and closed thoraeostomy drainage on left for another spontaneous pneumothorax, and result was excellent for 6 month after discharge. Another 53 year old man with giant tension air cysts occupying right whole lung field and shifting mediastinum to the left was treated with right under water sealed closed thoracostomy drainage for 7 days in vain, and resection was not performed for his poor respiratory function and general condition.
The most useful preoperative information was obtained from a study of the plain chest rediogram and the surgical procedure of choice was obliteration of the bullae at thoracotomy.
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KEYWORD
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