电视胸腔镜在胸部锐器伤中的应用体会

目的:总结电视胸腔镜在胸部锐器伤中的应用体会。方法:回顾分析2002年1月至2005年12月应用电视胸腔镜探查胸部锐器伤患者78例的临床资料。结果:诊断肺裂伤59例,肋间血管出血8例,心包填塞1例,膈肌破裂、胸腹贯通伤3例,7例探查无异常。除4例中转开胸外,余均经缝合修补及缝扎止血完成手术。手术时间33～106min,术后患者均恢复顺利,住院时间5～12d,平均6.4d,未发生并发症及死亡。结论:电视胸腔镜用于探查和治疗胸部锐器伤的患者,操作方便,手术创伤小,痛苦轻,术后康复快,住院时间短,疤痕小,符合美容要求。

The experience of video thoracoscopic application in thoracic trauma

Objective:To summarize the experience of applying video thoracoscopic exploration in thoracic trauma.Methods:Clinical data of 78 patients were analyzed retrospectively.Results:Lung laceration,intelcostal bascular vascular hemorrhage,pericardial filling were discovered in 59,8 and 1 case respectively;3 cases with diaphratic muscles rupture and thorax-abdomen perforating wound were found.No abnormality was found in 7 case Excepts four cases were converted to open operation,seventy four cases were performed successfully.The operation time was 33-106 minutes,hospitalization time was 5-12 days.All patients were cured,and no complications and death occurred.Conclusions:Video thoracoscopic exploration in thoracic trauma can obtain hign rate of definite diagnosis and successful treatment.