How long does pulmonary sequestration recover after operation?
summary
Pulmonary sequestration (PS), also known as bronchopulmonary sequestration, is a congenital malformation of lung development, accounting for 0.15% - 6.4% of lung diseases and 1.1% - 1.8% of pneumonectomy. So let's understand how long does pulmonary sequestration recover after surgery??
How long does pulmonary sequestration recover after operation?
First, surgical treatment should be considered for recurrent respiratory tract infections, and anti infective treatment should be actively carried out at the same time.
Second: in recent years, it has been reported that video-assisted thoracoscopic surgery is successful. Most of the patients found by prenatal ultrasound scan can be treated according to the condition after delivery, but those with polyhydramnios may need prenatal treatment.
Third: the CT manifestations of pulmonary sequestration have certain characteristics. Finding the abnormal blood supply from the systemic artery is the key factor to make a clear diagnosis and differentiate it from other common diseases. Multi slice spiral CT enhanced scanning and post-processing technology are simple, fast, safe and effective in displaying the abnormal blood supply and drainage veins, which can be used as the preferred examination method for pulmonary sequestration.
matters needing attention
If the disease has been diagnosed or considered before the operation, we should be alert during the operation, dissect and ligate the abnormal blood vessels before entering the chest, which can avoid accidental massive hemorrhage. Therefore, surgeons should bear in mind that "rare abnormal blood vessels and gastrointestinal fistulas communicating with bronchus may be associated with some cysts or pulmonary suppurations". During the operation, we should pay attention to exploration, first touch whether there is blood vessel pulsation with fingers, and then dissect and separate. Repeated infection and close adhesion of the diseased lung make it difficult to dissect and expose the surgical field. In the separation of adhesion, the operation should be gentle, and the exploration should be careful and comprehensive. Blind clamping and cutting should be avoided in the case of unclear separation, so as to prevent the abnormal blood vessels from retracting to the subphrenic or other parts and causing massive bleeding.