Flexible medical care assisted thoracoscopic surgery.docVIP

 PAGE \* MERGEFORMAT 6 Flexible medical care assisted thoracoscopic surgery [Keywords:] thoracoscopy, pleural disease, nursing Department of Respiratory Medicine of our hospital from January 2009 to June 2009 a total of 15 patients with medical thoracoscopic surgery, pleural disease, diagnosis, treatment, and achieved satisfactory results. 1 Materials and Methods 1.1 Clinical data 15 patients, 10 males and 5 females, aged 20 to 76 years, mean 52 years. Pleural effusion in 14 cases, 1 case of spontaneous pneumothorax, 14 cases of preoperative patients with pleural effusion after X-, B-, CT , pleural fluid cytology practice and 1 case was not diagnosed with spontaneous pneumothorax, closed thoracic drainage after pulmonary reexpansion bad. 1.2 Methods Preoperative establishment of artificial pneumothorax. Intraoperative contralateral decubitus taken, contralateral chest wall Xiadian a soft pillow, so that the spine slightly affected side of processes, to expand the surgical area of the intercostal space affected side, ipsilateral arm placed in the head and rack elevation on the contralateral arm relaxed. to select the best puncture point, according to the outcome of the chest or perspective. For the general election and the anterior axillary line axillary line for the first 3 to 5 intercostal entry site, because the entry is not easy to damage these parts blood vessels. routine disinfection of skin and laying surgical towels, 2% lidocaine local anesthesia. incision about 1cm of skin around the vertical separation of forceps subcutaneous tissue, muscle and chest wall tissue, vertically into the trocar to the pleural cavity, in order to enter the chest 0.5 cm is appropriate. fixed trocar, pull out the needle core, insert thoracoscopic observation. observe the road as possible before exhaustion through work pleural effusion, so as not to cover up the condition of vision, and specimens from pleural effusion specimens. exhaustion chest effusion, T