普胸外科胸腔内出血评估及其处理进展  

Evaluation and management of thoracic cavity hemorrhage during general thoracic surgery

作　　者：曹慧慧[1] 肖熙[1] 孟辉[1] 

机构地区：[1]中国人民解放军兰州总医院胸外科,兰州730050

出　　处：《中国胸心血管外科临床杂志》2017年第8期640-644,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：甘肃卫生行业科研计划项目(GSWST09-19);甘肃省科技支撑计划资助项目(1104FKCA106)

摘　　要：普胸外科术后出血和凝固性血胸是需要再手术的主要原因,积极处理胸腔内出血时更应做好多方面评估,以增加对手术的掌控度。本文就胸腔术后出血量化评估、出血部位和原因、止血方法、输血指征、胸腔引流管选择、手术并发症及术后快速康复等方面进行论述。Postoperative bleeding and coagulation hemothorax is the primary cause for re-operation after general thoracic surgical procedures. We should do a good job in the assessment of preoperative factors to increase the operation control. This article mainly introduces the thoracic surgery bleeding quantitative assessment, bleeding location and cause, hemostasis, transfusion trigger, pleural drainage tube selection, surgical complications, enhanced recovery after surgery and so on.

关 键 词：普胸外科 术后出血 止血 输血 并发症 快速康复外科 

分 类 号：R655[医药卫生—外科学]