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胸腔镜在血流动力学不稳定自发性血气胸中的应用 被引量:4

Video-assisted Thoracic Surgery for the Treatment of Spontaneous Hemopneumothorax with Hemodynamic Instability
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摘要 2005年2月~2011年8月,共收治15例自发性血气胸,其中8例血流动力学不稳定,7例经胸腔镜手术,1例胸腔镜手术中转开胸手术。手术时间30~128 min,平均63 min,术前术中总出血量1100~3200 ml,平均1850 ml。术后24小时胸腔引流液100~320 ml,平均189 ml,术后胸腔闭式引流管放置时间2~6 d,平均3.2 d,无术中及术后并发症。术后住院时间4~12 d,平均7.9 d。 From February 2005 to August 2011, 15 patients with spontaneous hemopneumothorax received treatment in our hospital. Among the patients, 8 showed unstable hemodynamic conditions, and thus underwent video-assisted thoracic surgery (VATS). One of them was then converted to open surgery. The mean operation time was 63 minutes (ranged from 30 to 128 minutes) , and the mean intraoperative blood loss was 1850 ml (ranged from 1100 to 3200 ml). Postoperative chest drainage volume was 189 ml in average (100 -320 ml) in 24 hours; the chest drainage tube was removed in 2 to 6 days (mean, 3.2 days) after the procedure. No patient had intra- or postoperative complications. The patients were discharged from hospital in 4 to 12 days ( mean, 7.9 days) after the operation.
机构地区 解放军第
出处 《中国微创外科杂志》 CSCD 2012年第9期830-831,共2页 Chinese Journal of Minimally Invasive Surgery
关键词 自发性血气胸 电视胸腔镜手术 血流动力学 Spontaneous hemopneumothorax Video-assisted thoracoscopic surgery Hemodynamics
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