CAJ | 학술논문

目的探讨胸腔镜在胸部损伤控制中的诊断意义,强调胸腔镜作为一种诊察工具的作用.方法 2006年1月至2011年11月57例胸部损伤患者,均经胸腔镜手术,其中自发性血、气胸27例,多发肋骨骨折12例,肺部刀刺伤15例,刀刺伤后心包损伤3例.结果 57例患者均手术成功,随访3个月～5年,恢复良好.结论在胸部损伤控制中,胸腔镜是良好的诊断和治疗措施,其损伤小,恢复快,尤其对创口小,损伤大的隐匿性损伤的诊断、控制、术后恢复有确切意义.在充分麻醉保障并排除非医疗因素外,胸腔镜在损伤控制中诊断作用有尽早、尽快及普及的意义.
목적 탐토흉강경재흉부손상공제중적진단의의,강조흉강경작위일충진찰공구적작용.방법 2006년1월지2011년11월57례흉부손상환자,균경흉강경수술,기중자발성혈、기흉27례,다발륵골골절12례,폐부도자상15례,도자상후심포손상3례.결과 57례환자균수술성공,수방3개월～5년,회복량호.결론 재흉부손상공제중,흉강경시량호적진단화치료조시,기손상소,회복쾌,우기대창구소,손상대적은닉성손상적진단、공제、술후회복유학절의의.재충분마취보장병배제비의료인소외,흉강경재손상공제중진단작용유진조、진쾌급보급적의의.
Objective To discuss the diagnostic significance of VATS in thoracic damage control,emphasizing VATS is in the role of a diagnostic tool.Methods Fifty-seven cases of thoracic injury from January 2006 to November 201 lwere all after VATS operation,in which 27 cases were spontaneous hemothorax or pneumothorax,multiple rib fracture in 12 cases,lung injury by knife in 15 cases,after stabbing cardiac injury in 3 cases.Results The operation for 57 patients were all successful,they were followed up for 3 months to 5 years and recovered well.Conclusions In thoracic damage control,VATS is a good diagnostic and therapeutic measures,the little injury,quick recovery,especially have a precise meaning for the small wound,injury in occult injury diagnosis,control and postoperative recovery.In the full anesthesia security and the exclusion of non medical factors,thoracoscopy has as soon as possible and universal significance in diagnosis of damage control.