{"errCode":0,"errMsg":"success","timeStamp":"1777485941","data":{"trueId":"6052837899188139995","title":"34岁男子插管带瓶一年多，终于摆脱了噩梦","author":["李传新"],"tags":[],"detail":"\u003cp\u003e华声在线5月9日讯（全媒体记者 李传新 通讯员 邓享 陈亚男）今年34岁的段先生插管带瓶生活了1年多，胸腔流脓和漏气的问题，让他苦不堪言。近日，湖南省胸科医院胸外科团队多学科通力配合，为他实施了右侧胸膜全肺切除术，帮他解除了瓶瓶管管的“负累”，为后续治疗提供有利条件。\u003c/p\u003e\u003cp\u003e\u003cimg data-type=\"image_card\" src=\"https://img.hubpd.com/hubpd/spider/full/c05a991b5a35086a4d0a0887b31827bcea967954.jpg\"/\u003e\u003c/p\u003e\u003cp\u003e家住株洲的段先生身体一直不太好，早前得了糖尿病，伴有重度营养不良、消瘦。1年多前在外地务工时，他又出现了全身乏力、气喘、食欲下降的症状，在当地医院做了手术后，留置胸腔微管引流，手术后胸腔仍反复流脓和漏气。回到家乡休养的他再次前往医院检查，发现罪魁祸首是耐多药结核所致的结核性脓胸及手术后的支气管胸膜瘘。在医生建议下，他来到湖南省胸科医院继续治疗。由于患者感染的是耐多药结核，治疗难度大且费用高，脓胸及支气管胸膜瘘进一步加大了药物治疗的难度。\u003c/p\u003e\u003cp\u003e该院胸外科主任、主任医师石自力详细了解患者的情况后认为，患者结核性脓胸，并且属于耐药结核，单纯依靠药物很难控制病情。长期的抗结核治疗及迁延不愈可能使他发展到无药可医的境地，必须尽早手术治疗。经过充分的术前评估和术前准备，胸科医院胸外科团队成功为患者实施了外科手术。目前，段先生的状态良好，正在接受后续抗结核治疗。\u003c/p\u003e\u003cp\u003e石自力今天在接受记者采访时表示，耐药肺结核的控制非常重要，如不能及时治愈就会转为广泛耐药肺结核，局限的肺结核也会转为多发病变部位肺结核，更难以治疗。对那些药物治疗效果不好的患者，在有手术指征的情况下，如结核性脓胸，或病变局限于一叶或者一侧且难以吸收，都要尽早手术干预，防止病人结核扩散，丧失手术时机。\u003c/p\u003e","createdAt":1683682892,"updatedAt":1683682893,"source":1,"reprintedUrl":"https://hunan.voc.com.cn/article/202305/20230509185926951421.html","type":0,"vShowStyle":0,"transCodingObjKey":"https://img.hubpd.com/hubpd/645af64ddbba530001c593a8","transCodingObjKeyMp4":"https://img.hubpd.com/hubpd/","mpIcon":"https://img.hubpd.com/hubpd/3ac52381-db02-11eb-ae46-3a030ef03be2.png","mpName":"华声在线","mpIsVerified":true,"mpId":"5764607523034264914","covers":["https://img.hubpd.com/hubpd/spider/full/c05a991b5a35086a4d0a0887b31827bcea967954.jpg"],"coversType":0,"blurImage":"","publishedAt":1683629966,"classificationName":"健康","tap":262,"likeCnt":0,"userIsLike":false,"isFeedAd":false,"compositeId":"6052837899188139995|0|0","editedAt":0,"mpLinkType":0,"mpLinkTypeList":[],"coverType":0,"settled":0,"settledEntity":"","settledInfo":"","hideView":0,"hideLike":0},"hisHots":{"hotData":[{"trueId":"5476377146887432195","title":"错峰飞更省钱，小众地避拥堵！“五一”假期雨水多，出行前多关注天气走势","author":null,"tags":null,"source":0,"reprintedUrl":"https://hunan.voc.com.cn/news/202604/32522500.html","type":0,"vShowStyle":0,"mpIsVerified":false,"covers":["https://img.hubpd.com/hubpd/spider/full/b93e98275f2bd8c0784118863e1d235e25d9855b.jpg"],"coversType":0,"blurImage":"","publishedAt":1777163445,"tap":0,"likeCnt":0,"userIsLike":false,"isFeedAd":false,"compositeId":"5476377146887432195|0|0","editedAt":0,"mpLinkType":0,"mpLinkTypeList":null,"coverType":0,"settled":0,"settledEntity":"","settledInfo":"","hideView":0,"hideLike":0},{"trueId":"4909173","title":"运力拉满迎客流高峰！长沙火车站“五一”假期加开42对临客","author":null,"tags":null,"source":0,"reprintedUrl":"https://hunan.voc.com.cn/news/202604/32524405.html","type":0,"vShowStyle":0,"mpIsVerified":false,"covers":["https://img.hubpd.com/hubpd/spider/full/ef700a48841d6e901d4a16afb0c1504129f0081c.jpg"],"coversType":0,"blurImage":"","publishedAt":1777182374,"tap":0,"likeCnt":0,"userIsLike":false,"isFeedAd":false,"compositeId":"4909173|0|0","editedAt":0,"mpLinkType":0,"mpLinkTypeList":null,"coverType":0,"settled":0,"settledEntity":"","settledInfo":"","hideView":0,"hideLike":0},{"trueId":"8358680908404549747","title":"1.5万名跑者逐梦湘江岸 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