胸腔镜下胸腔穿透伤后异物取出术附2例报告。

Changgeng yi xue za zhi Pub Date : 1999-03-01
Y H Liu, H P Liu, P J Lin, C H Chang
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引用次数: 0

摘要

视频辅助胸外科手术已被证明在许多胸外科手术中是有价值的。视频胸外科手术在创伤中的应用近年来迅速增加。它在钝性和穿透性胸外伤患者的急性或延迟治疗中是有用的。对于清除凝血胸、治疗胸气胸、治疗持续性气胸、治疗乳糜胸以及诊断膈损伤是安全的。我们报告两例使用胸腔镜去除胸内金属碎片,避免了开胸手术的需要。在第一位患者中,金属碎片通过锁骨上切迹到右上肺的穿透伤而受伤。取出金属碎片,并在胸腔镜下使用常规缝合技术修复肺。另一名患者左上纵隔因颈部低位受伤而骨折。胸腔镜下成功取出胸针。两名患者均顺利康复,缩短了住院时间。我们认为胸腔镜在稳定的穿透性胸外伤患者中提供了治疗和诊断的好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Thoracoscopic retrieval of foreign body after penetrating chest injury: report of two cases.

Video-assisted thoracic surgery has proved to be valuable in many settings in thoracic surgery. The use of video-assisted thoracic surgery in trauma has recently rapidly increased. It is useful in acute or delayed management of patients with blunt and penetrating chest trauma. It is safe for removal of clotted hemothorax, treatment of thoracic empyema, treatment of persistent pneumothorax, treatment of chylothorax, and for diagnosis of diaphragmatic injury. We report two cases using thoracoscopy to remove intrathoracic metal fragments and avert the need for thoracotomy. In the first patient, a metal fragment injury was sustained via a penetrating wound from the supraclavicular notch to the right upper lung. The metal fragment was retrieved and the lung was repaired thoracoscopically using conventional suturing techniques. A second patient sustained a broken pin injury to the left upper mediastinum via a low neck wound. The pin was successfully removed under videothoracoscopy. Both patients recovered uneventfully and had shortened hospital stays. We feel that thoracoscopy offers a therapeutic as well as diagnostic benefit in stable patients with penetrating chest trauma.

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