电视胸腔镜在诊治急诊外伤性血气胸中的应用

The application of video-assisted thoracosopic surgery in the diagnosis and treatment of emergent traumatic hemopneumothorax

摘要: 目的:探讨电视胸腔镜手术(VATS)在诊治急诊外伤性血气胸中的价值。方法:运用电视胸腔镜对31例胸部外伤所致的肋间血管破裂、肺组织裂伤、胸腔内血管引起的血气胸患者进行探查、止血、修补。结果:31例手术全部成功,无手术死亡及并发症,手术时间27～101 min,胸腔引流1～3 d,住院4～10 d。结论:严格把握手术适应证,VATS是诊治急诊外伤性血气胸的一种安全、有效、微创的方法。

Abstract: Objective: To evaluate the value of video-assisted thoracoscopic surgery(VATS) in the diagnosis and treatment of emergent traumatic hemopneumothorax.Methods: Thirty-one cases with traumatic hemopneumothorax caused by intercostal vascular rupture and lung tissue laceration were probed,stopped bleeding and repaired by VATS.Results: The operation of 31 patients were successful,and no fatality and complications occured.The time of operation,pleural cavity drainage and hospitalization were 27-101 minutes,1-3 days and 4-10 days,respectively.Conclusions: VATS is a safe,effective and less invasive method to diagnose and treat traumatic hemopneumothorax,but surgical indications should be strictly controlled.