电视胸腔镜下手术治疗脓胸合并心肺功能不全患者的临床分析

Application of video-assisted thoracoscope in treatment for empyema complicated with cardiac or respiratory insufficiency

目的:观察电视胸腔镜(VATS)下手术治疗脓胸合并心肺功能不全患者的效果。方法:对22例脓胸患者采用VATS下手术治疗,术中充分清除脓液及坏死物质,充分冲洗并促肺膨胀,放置引流。结果:22例患者均治愈出院,手术时间35～63 min,术后住院8～18 d,随访无复发病例。结论:VATS下脓胸清除术是治疗脓胸合并心肺功能不全患者的有效手段,尽早手术为宜。

Objective：To evaluate the effect of video-assisted thoracoscope（VATS） in the treatment of empyema complicated with cardiac or respiratory insufficiency. Methods： VATS was performed in all 22 cases. In the course of operation, pus liquid, clot, as well as necrotic tissues were cleared, and encapsulated effusion on the thoracic cavity was stripped to make the compressed lung fully expand. Results： All of the 22 cases were recovered well with no death in the perioperative period. The operation time was between 35 - 63 rain utes, and postoperative hospitalstay time was between 8 - 18 days. No recurrence of empyema happened. Conclusions： VATS has proved to be highly effective, and is especially suitable for the patients who are weakly of cardiac or respiratory function. The key to success is operation early.