16例张力性纵隔气肿治疗体会  

Surgical Therapy of Tension Pneumomediastinum: An Analysis of 16 Cases

作　　者：杜维安[1] 

机构地区：[1]四川省成都市新都区人民医院外科,610500

出　　处：《中国全科医学》2007年第17期1462-1462,1475,共2页Chinese General Practice

摘　　要：目的观察纵隔切开减压引流术治疗张力性纵隔气肿的效果。方法对16例张力性纵隔气肿患者行经胸骨上窝纵隔切开减压引流术或电视胸腔镜辅助手术治疗。结果术后患者症状得到明显改善或消失,平均住院11d康复出院。结论早期正确的诊断和治疗是成功抢救张力性纵隔气肿患者的关键,经胸骨上窝纵隔切开减压引流术是简单有效的治疗手段。Objective To present our modest experience in diagnosis and treatment of tension pneumomediastinum, Methods Sixteen patients with tension pnemnomediastinmn were treated by decompression drainage of mediastinotomy via suprasternal fossa or surgical therapy with assisted thoracoscopy. Results After operation, the patients＇ clinical symptoms improved markedly or disappeared, and the mean time of postoperative hospitalization was 11 d. Conclusion Early diagnosis and surgical intervention is the key for successive emergency treatment of the patients with tension pneumomediasinum. The decompression drainage of mediastinotomy via suprasternal fossa is a simple and effective therapeutic measure.

关 键 词：纵隔气肿 减压术 外科 引流术 胸腔镜 

分 类 号：R564.3[医药卫生—呼吸系统]