电视胸腔镜在急诊手术治疗血气胸的应用体会

目的：探讨电视胸腔镜手术（VATS）急诊治疗血气胸的效果。方法：回顾分析28例血气胸行VATS的临床资料。结果：全组病例VATS均顺利完成,术后平均住院时间12.8天,带胸引管时间平均2.8天;随访2～12个月,无1例复发。结论：通过VATS手术能彻底清除胸内积血和有效止血,并可行肺大疱切除及肺裂伤修补,减轻了病人的痛苦,缩短了病人的住院时间,大大了减轻病人的经济负担。

Purpose：To investigate the therapeutic efficacy of Video - assisted thoracoscopic surgery （VATS） in treating hemopneumothorax with emergency exploratory thoracotomy. Method： To analysis retrospectively 24 cases of hemopneumothorax treated with emergency exploratory thoracotomy with the help of Video - assisted thoracoscopic surgery（VATS）. Results： All the thoracotomy operations were completed by the Video - assisted thoracoscopic surgery （VATS） successfully. The average length of staying after surgery was 8 - 19 days. The average chest tub drainage period was 2.8 days. We have followed up all patients for 2 - 12 monthes and found all the patients in good condition. Conclusions： The operation of Video - assisted thoracoscopic surgery （VATS） can thoroughly clean up the blood in thoracic cavity and stop the bleeding effectively, including the lobectomy and the neoplasty. In the clinical practice, this method leads to the more reduced steps than the traditional treatment, also causes less pain, shorter LOS and lighter economic burden of patients than before.