选择性应用电视胸腔镜处理胸外科急症

Selective application of video-assisted thoracoscopic surgery in thoracic emergency

目的探讨电视胸腔镜手术(VATS)在胸外科急诊的早期诊断和治疗中的临床价值。方法42例胸外科急诊使用VATS行胸腔内探查与治疗。结果42例全部治愈,电视胸腔镜能及时、准确、全面观察胸腔内的情况,修补肺裂口、有效止血清除血凝块,发现膈肌损伤和膈下脏器或心脏等联合脏器损伤,患者无严重胸部并发症,术后恢复良好。结论VATS的合理应用是急诊胸外科的一种安全、有效、微创的方法。

Objective To evaluate the clinical significance of video-assisted thoracoscopic surgery （VATS） in the early diagnosis and treatment of thoracic emergency. Methods VATS was used as means of exploration and treatment in 42 patients with thoracic emergency. Results All patients who underwent VATS were cured. VATS can be used to observe the situation of thoracic cavity promptly, correctly and thoroughly, and to repair lung split, stop bleeding, eliminate blood clot, find injuries of diaphragmatic muscle or combined injuries of organs below diaphragm and heart. All patients recovered well without serious complications. Conclusion Appropriate application of VAST in thoracic emergency is a safe, effective and minimally invasive treatment.