胸腔镜手术在创伤性血胸治疗中的体会  

Video-assisted thoracoscopic surgery in treating traumatic hemothorax

作　　者：张保友[1] 王腾飞[1] 秦大磊[1] 孔劲松[1] 张彪[1] 耿玉六[1] 

机构地区：[1]皖北煤电集团总医院胸心血管外科,安徽宿州234000

出　　处：《临床医学》2013年第4期25-27,共3页Clinical Medicine

摘　　要：目的总结胸腔镜手术治疗创伤性血胸的临床经验。方法 2006年8月至2012年8月血胸患者39例,其中行胸腔镜治疗18例,行剖胸探查手术21例。结果胸腔镜组患者术后镇疼药物(吗啡)用量,术后胸腔引流管放置时间、引流量,住院时间均明显少于开胸组,且无并发症发生。结论胸腔镜手术治疗血胸具有创伤小、康复快、并发症少等优点,大部分创伤性血胸手术可由胸腔镜完成,是值得临床推广、安全有效的治疗方法。Objective To summary the clinical experience of video-assisted thoracoscopic surgery in treating patients with traumatic hemothorax.Methods There were 39 patients with traumatic hemothorax from August 2006 to August 2012.Eighteen patients were treated by video-assisted thoracoscopic surgery,21 patients were treated by exploratory thoracotomy.A retrospective analysis was carried out and the treatment effects were compared.Results The dose of analgesics was less,the duration of chest drainage was shorter,the volume of drainage was less and the length of hospital stay was shorter in patients treated by thoracoscopic surgery,and there was no complication.Conclusion There were many advantages such as little trauma,recovery quikly and few complication of thoracoscopic surgery.It can be used in most of patients with traumatic hemothorax.

关 键 词：创伤性血胸 电视胸腔镜 开胸探查术 

分 类 号：R655[医药卫生—外科学]