急诊电视内窥镜治疗外伤性胸腹腔内出血51例

Treatment of 51 cases with acute traumatic hemorrhage of abdomen or thoraces by video endoscopy

目的 改变胸腹腔内出血病人需要剖胸或剖腹止血与修补的治疗现状。 方法 在电视内窥镜系统监视和引导下，采用腔镜下缝合修补技术、电凝止血和（ 或） 钛夹钳闭等方式进行处理，临床应用５１ 例。 结果 除３ 例中转为开放性手术外，余全部在腔镜下完成手术，均在２～７ ｄ 内出院。 结论 电视内窥镜手术系统同样适用于急性胸、腹腔内出血的病人，能达到早诊断、早治疗的目的，其治疗效果明显优于剖胸或剖腹治疗。

Objective To make a change of treatment of acute hemorrhage of abdomen or thoraces with laparotomy, ventrotomy and thoracotomy. Methods A total of 51 patients with acute hemorrhage of abdomen or thoraces underwent endo suture and ligation, electrocoagulation hemostasis and titanium clips incarceration, under video endoscopy monitoring and leading. Results Of total, 3 patients had to receive ordinary opertion,the rest were operated on by endoscopic technique and discharged in 2 to 7 days. Conclusions Acute hemorrhage of abdomen or thoraces can be cured by endoscopic technology which is aiming at early diagnosis and treatment.It may be a better therapy for acute hemorrhage of abdomen or thoraces than ordinary operation.