摘要
目的探讨脊柱侧凸单纯后路矫形术后并发血胸的相关因素及预防措施。方法 3例行单纯后路侧凸三维矫形术后患者,2例经床旁胸部X线确诊,1例经胸部CT确诊并发血胸,均行持续胸腔闭式引流术、促进肺复张及预防胸腔感染等治疗。结果 3例均在脊柱凹侧发生血胸,引流量分别为1 250、1 500、1 630 ml。随访时间分别为3、6、18个月,均恢复良好。结论脊柱侧凸单纯后路三维矫形术后并发血胸极为少见,常被忽视。胸部查体结合X线、超声或CT有利于早期发现并明确诊断血胸。
Objective To investigate the prophylaxis of haemothorax related to posterior surgical correction of scoliosis.Methods 3 cases presented haemothorax after posterior correction of scoliosis,of which 2 cases were diagnosed by beside thoracic X-ray,and 1 case by chest CT scan.All of the 3 cases were treated by closed drainage of thoracic cavity,advancing pulmonary re-expansion and infection prevention.Results The 3 cases all presented haemothorax in the concave side,and the volume of drainage were 1 250 ml,1 500 ml and 1 630 ml respectively.The follow-up period were 3 months,6 months and 18 months respectively.At last follow-up,the three patients had recovered well.Conclusions Haemothorax is a scarce and easily neglected postoperative complication after posterior correction of scoliosis.Physical examination combined with thoracic X-ray,ultrasonography or chest CT scan is helpful to diagnose haemothorax early and exactly.
出处
《临床骨科杂志》
2010年第4期361-364,共4页
Journal of Clinical Orthopaedics
关键词
血胸
脊柱侧凸/外科学
手术后并发症
预防
haemothorax
scoliosis/surgery
postoperative complications
prophylaxis
