[1]魏崴* 李勇生 钟标 黎佩建.急诊胸腔镜在自发性血气胸诊治中的应用[J].中国微创外科杂志,2014,14(6):553-554.
　Wei Wei,Li Yongsheng,Zhong Biao,et al.Application of Videoassisted Thoracoscopic Surgery in the Treatment of Spontaneous Hemopneumothorax in Emergency[J].Chinese Journal of Minimally Invasive Surgery,2014,14(6):553-554.
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急诊胸腔镜在自发性血气胸诊治中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
14
期数:
2014年6期
页码:
553-554
栏目:
短篇论著
出版日期:
2014-06-20

文章信息/Info

Title:
Application of Videoassisted Thoracoscopic Surgery in the Treatment of Spontaneous Hemopneumothorax in Emergency
作者:
魏崴* 李勇生 钟标 黎佩建
广东省惠州市中心人民医院胸心外科，惠州516000
Author(s):
Wei Wei;  Li Yongsheng;  Zhong Biao;  et al.Corresponding author:Wei Wei; Email:w7weiwei@163.com
Department of Thoraciccardiac Surgery, Central People’s Hospital of Huizhou, Huizhou 516000, China
关键词:
自发性血气胸;  电视胸腔镜手术
Keywords:
Spontaneous hemopneumothorax; Videoassisted thoracoscopic surgery
分类号:
R655.2
文献标志码:
A
摘要:
目的探讨急诊胸腔镜手术(videoassisted thoracoscopic surgery，VATS)在自发性血气胸诊治中的应用价值。方法2008年1月～2013年6月，急诊VATS治疗自发性血气胸37例，术中电凝或钛夹止血，同期切除肺大疱。结果全组手术顺利，无中转开胸，手术时间50～110 min，平均70 min。术后胸管留置时间1~5 d，平均2.8 d，住院时间3~9 d，平均5.4 d。全组治愈出院，无严重并发症及围术期死亡。32例随访12~24个月，平均17个月，无气胸或血气胸复发。结论急诊VATS治疗自发性血气胸安全有效，创伤小，恢复快，住院时间短，值得临床推广。
Abstract:
ObjectiveTo investigate clinical application of videoassisted thoracoscopic surgery (VATS) in the treatment of spontaneous hemopneumothorax in emergency.MethodsFrom January 2008 to June 2013, 37 cases of spontaneous hemopneumothorax underwent urgent application of VATS. During the operation, the bleeding was stopped by electrocoagulation or titanium clipping. The pulmonary bulla was resected during the operation.ResultsThe operations were completed successfully in all the 37 cases, without conversion to open surgery. The average operation time was 70 min (range, 50-110 min). The average chest tube indwelling time was 2.8 days (range, 1-5 days). The average hospitalization length was 5.4 days (range, 3-9 days). All the patients were recovered and discharged from hospital, without serious complications or death. A followup examination for 12-24 months (mean, 17 months) was carried out in 32 cases, during which no recurance was seen.ConclusionsUrgent use of VATS in the treatment of spontaneous pneumothorax is safe and effective. It has advantages of minimal invasion, rapid recovery, and short hospital stay, being worthy of clinical application.

参考文献/References:

[1]Homma T,Sugiyama S,Kotoh K,et al.Early surgery for treatment of spontaneous hemopneumothorax.Scand J Surg,2009,98(3):160-163.
[2]Hsu NY，Shih CS，Hsu CP，et al．Spontaneous hemopneumothorax revisited：clinical approach and systemic review of the literature．Ann Thorac Surg，2005，80(5)：1859-1863．
[3]杨新伟，王志农，徐志云，等.自发性血气胸胸腔镜治疗经验.中华外科杂志，2009,47(19):1513-1514.
[4]叶敏华，倪一呜，马德华，等.胸腔镜手术治疗自发性血气胸39例.浙江医学，2007,29(7):727-728.
[5]熊刚，杨康，廖克龙，等.电视胸腔镜在急诊剖胸探查术中的应用.重庆医学，2004,33(12):1796-1797.
[6]李叙，魏小东，栗兰凯，等.胸腔镜在血流动力学不稳定自发性血气胸中的应用.中国微创外科杂志，2012,12(9):830-831.
[7]赵云平，蒋耀光．电视胸腔镜在胸部创伤中的应用．创伤外科杂志，2010，12(5)：469-471．
[8]陈伟.急诊电视胸腔镜在血气胸诊治中的临床应用．实用临床医药杂志，2010，14(11)：33-36．
[9]赵桂彬，崔键，张凯，等.早期电视胸腔镜手术治疗原发性自发性血气胸.中国微创外科杂志，2011,11(7):623-629.

备注/Memo

备注/Memo:
*通讯作者，Email:w7weiwei@163.com
更新日期/Last Update: 2014-12-08