胸腔镜在血流动力学不稳定自发性血气胸中的应用

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。

Video-assisted Thoracic Surgery for the Treatment of Spontaneous Hemopneumothorax with Hemodynamic Instability

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.