At 10 a.m. on December 25, Huang Zhiliang's team from the Department of Thoracic and Cardiovascular Surgery of Wuhan Fifth Hospital successfully removed a bladder-sized bullae on the pleural surface of the left upper lobe of the chest of a 46-year-old patient, and the operation took less than 30 minutes. "Thank you very much Dr. Huang, we didn't expect her to be done in less than half an hour after she entered the operating room. Ms. Li's family expressed their heartfelt gratitude.
Ms. Li, 46, has always felt chest tightness and breathlessness in recent years, and a few days ago she went to the new outpatient complex of Wuhan Fifth Hospital for treatment because of a severe cold. Chest CT imaging showed that Ms. Li not only had a thickened and adhesion pleura in the left upper lobe, but also a large bullae with a diameter of 8 cm. Ms. Li was very anxious when she learned the results, and Huang Zhiliang, director of the Department of Thoracic and Cardiovascular Surgery, carefully explained her condition and suggested that Ms. Li immediately undergo surgery to remove the "big fish bladder". At 9 o'clock in the morning of December 25, Director Huang Zhiliang and his team only opened a 2 cm small hole in the fourth intercostal space on the left side of Ms. Li, entered the lung cavity from the left chest wall, and successfully excised and sent it for examination after clearly finding the "big fish bladder" through a 30-degree 4K fluorescence thoracoscopy, and the operation lasted less than half an hour.
In the ward, Director Huang Zhiliang told the patients to avoid second-hand smoke as much as possible. "For most adults with lung bullae, old smoking guns, second-hand smoke, and air pollution are the main causes of lung bullae, so it is recommended to stay away from tobacco and cherish the lungs in order not to affect lung function and not suffer from such diseases. Eat more foods that contain high-quality protein and vitamins, and eat fish in moderation to have great benefits for the lungs. Director Huang Zhiliang said that the acquired condition of pulmonary bullae is more common in **, elderly patients, often accompanied by chronic bronchitis and emphysema. Although some bullae may remain unchanged for many years, some bullae may gradually enlarge due to various factors, resulting in symptoms such as chest tightness and shortness of breath. Infection within the bullae can cause cough, chills, phlegm, fever, and even cyanosis, hemoptysis, and chest pain. The vast majority of bullous surgeries can be performed under video-assisted thoracoscopy, and 2 to 3 patients have significantly improved postoperative symptoms.
Editor: Yu Lina].
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