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Rare! A 69 year old patient with bronchopleural fistula has regained life at this hospital

Author:admin      Time:2023-05-20     Number :207
This is a disease with an incidence rate of only 1% and a mortality rate of 40%, and it is also a disease that causes headaches for chest surgeons worldwide.

This is a group of doctors holding willow blades and challenging the medical peak, as well as a medical team with a benevolent heart and a warm heart.


Recently, under the leadership of Li Xiaofei, Executive Director of the Thoracic Hospital, and Li Wenhai, Vice President, the Thoracic Surgery Department successfully blocked a bronchopleural fistula patient, saving their lives. After the surgery, with careful treatment and care from the medical team, the patient was discharged smoothly.


My father had a second surgery, and we didn't have much hope. This time it was a close call, and our experts saved him. Thank you very much! "Upon discharge, Mr. Xiao's son delivered the banner to the doctor.

What exactly did the 'nine to one life' experience? The matter needs to start three months ago. At the beginning of this year, Mr. Xiao, 69, underwent a right lower lobe resection at a hospital in Shanghai due to a malignant tumor in his right lung. After discharge and returning to Xi'an, he developed symptoms of chest tightness and shortness of breath, diagnosed as bronchopleural fistula. But I went to multiple hospitals and was informed that the risk was too high to undergo surgery.

After several twists and turns, Mr. Xiao learned that chest specialist Dean Li Xiaofei had unique treatment methods and rich experience in repairing bronchopleural fistula, so he came to the hospital to seek help.

After a detailed understanding of the patient's condition, Dean Li Xiaofei believes that there is a possibility of surgical cure. But the patient has a long course of disease, extensive adhesions in the chest cavity, and the location and size of the bronchial fistula opening This series of difficulties makes the surgery extremely difficult. Dean Li Xiaofei immediately organized multi-disciplinary consultations and, after completing relevant examinations, developed a thorough personalized treatment plan.

How severe is bronchopleural fistula? Chief physician Zhou Jincai introduced that bronchopleural fistula is a type of lung cancer surgery that, due to certain reasons, causes the remaining end of the bronchus to not heal, resulting in a fistula. The fistula ruptures into the chest cavity. Due to the presence of sputum and bacteria in the bronchus, the chest cavity cannot be contaminated with any bacteria, which inevitably leads to empyema. The chest cavity is filled with pus, which can pour into other lungs through the bronchi, causing severe cases of suffocation and mild cases of long-term lung infection.

Data shows that bronchopleural fistula is one of the serious complications after lung cancer surgery, with an incidence rate of about 1% and a mortality rate of 40%, posing a serious threat to the patient's life safety.


On the day of the surgery, with the full cooperation of the Department of Hand Anesthesia, Dean Li Xiaofei and Vice Dean Li Wenhai led a team to perform right lung lobectomy, pleural exfoliation, empyema clearance, and pleural adhesions cauterization for the patient. During the surgery, the experts carefully cleared the thoracic abscess, completely separated and removed the right middle lobe of the lung, and repaired and sutured the fistula. After more than four hours, the surgery was successfully completed.



After the surgery, Mr. Xiao's body improved day by day with the meticulous care of the thoracic intensive care unit and the thoracic first department nursing team, after receiving treatment such as anti infection, anti-inflammatory, and phlegm resolving. The nurses' meticulous patience really touched me, they are very good! They are really as considerate as their own children. "Washing hair, cutting nails, shaving Little things make Mr. Xiao feel even more warm. Recalling his medical experience, Mr. Xiao lamented that he had encountered an excellent medical team and had only gradually come to this day.


For a long time, thoracic surgery has won praise from patients with excellent medical technology and warm nursing services. Under the leadership of Dean Li Xiaofei, the team overcame technical difficulties and continuously broke through the "forbidden zone" in the field of thoracic surgery, completing multiple difficult and complex surgeries, creating one "miracle of life" after another.