中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2014年
5期
421-423
,共3页
楼正亮%包飞潮%王志田%胡坚
樓正亮%包飛潮%王誌田%鬍堅
루정량%포비조%왕지전%호견
血胸%胸腔镜%外科手术,微创性%导尿管球囊封堵法
血胸%胸腔鏡%外科手術,微創性%導尿管毬囊封堵法
혈흉%흉강경%외과수술,미창성%도뇨관구낭봉도법
Hemothorax%Thoracoscopes%Surgical procedures,minimally invasive%Foley catheter blockage technique
目的 分析微创诊疗技术治疗进行性血胸的优势. 方法 选择2009年10月-2012年3月进行性血胸行微创治疗患者62例,根据治疗方法不同分为胸腔镜组(47例)和导尿管球囊封堵法组(15例),分别观察两组患者术后引流量及术后恢复情况. 结果 胸腔镜组47例患者均治愈,手术时间30 ～120 min,平均54 min,胸腔内清除积血700～2000ml,平均1 260 ml,均在胸腔镜下清除,术后复查床旁胸片提示肺复张良好,胸腔内无积血、积气.导尿管球囊封堵法组15例患者均治愈,术后3h内胸瓶引流量为100～500 ml鲜血性液体,平均260 ml,封堵成功之后未见大量血性液体流出,3h后复查胸部CT示胸腔积液量较前无明显增加. 结论 微创技术治疗中等量以下的进行性血胸疗效确切、创伤小、恢复快、并发症少,值得推广.
目的 分析微創診療技術治療進行性血胸的優勢. 方法 選擇2009年10月-2012年3月進行性血胸行微創治療患者62例,根據治療方法不同分為胸腔鏡組(47例)和導尿管毬囊封堵法組(15例),分彆觀察兩組患者術後引流量及術後恢複情況. 結果 胸腔鏡組47例患者均治愈,手術時間30 ～120 min,平均54 min,胸腔內清除積血700～2000ml,平均1 260 ml,均在胸腔鏡下清除,術後複查床徬胸片提示肺複張良好,胸腔內無積血、積氣.導尿管毬囊封堵法組15例患者均治愈,術後3h內胸瓶引流量為100～500 ml鮮血性液體,平均260 ml,封堵成功之後未見大量血性液體流齣,3h後複查胸部CT示胸腔積液量較前無明顯增加. 結論 微創技術治療中等量以下的進行性血胸療效確切、創傷小、恢複快、併髮癥少,值得推廣.
목적 분석미창진료기술치료진행성혈흉적우세. 방법 선택2009년10월-2012년3월진행성혈흉행미창치료환자62례,근거치료방법불동분위흉강경조(47례)화도뇨관구낭봉도법조(15례),분별관찰량조환자술후인류량급술후회복정황. 결과 흉강경조47례환자균치유,수술시간30 ～120 min,평균54 min,흉강내청제적혈700～2000ml,평균1 260 ml,균재흉강경하청제,술후복사상방흉편제시폐복장량호,흉강내무적혈、적기.도뇨관구낭봉도법조15례환자균치유,술후3h내흉병인류량위100～500 ml선혈성액체,평균260 ml,봉도성공지후미견대량혈성액체류출,3h후복사흉부CT시흉강적액량교전무명현증가. 결론 미창기술치료중등량이하적진행성혈흉료효학절、창상소、회복쾌、병발증소,치득추엄.
Objective To evaluate the advantages of minimally invasive technique for treatment of progressive hemothorax.Methods The study enrolled 62 patients with progressive hemothorax treated by minimally invasive surgery between October 2009 and March 2012.According to the treatment methods,the patients were classified to thoracoscope group (n =47) and urethral catheter balloon blockage group (n =15).Postoperative drainage volume and recovery were detected in both groups.Results All patients in thoracoscope group were healed with the mean operation time of 54 minutes (range,30-120 minutes).Mean effusion removed within thoracic cavity was 1 260 ml (range,700-2 000 ml).Postoperative bedside chest radiography revealed good pulmonary reexpansion without effusion or pneumatosis within thoracic cavity.All patients in urethral catheter balloon blockage group were healed.Chest drainage within postoperative 3 hours was mean 260 ml of fresh blood (range,100-500 ml) and thereafter no more massive bloody fluid discharge occurred.Meanwhile,chest CT reexamination revealed no increase of chest effusion.Conclusion Minimally invasive technique in treatment of progressive hemothorax patients with moderate or less effusion provides accurate effect,minor trauma,rapid recovery,and few complications and hence deserves clinical application.
