about video-assisted thoracoscopic experience in penetrating chest injury（对胸腔镜渗透胸部损伤的经验）.docVIP

About video-assisted thoracoscopic experience in penetrating chest injury : Solution Matilda Zong bell Yan Guorong Lv Mingliang Keywords: thoracoscopy, penetrating chest injury Chest trauma patients admitted from June 2002 to June 2006, a total of 216 cases in which the penetrating chest injuries 32 cases, the application of video-assisted thoracoscopic exploration of 26 cases, now clinical data analysis are as follows. 1 clinical data 1.1 General Information The group of 22 male and 4 females, age ranged from 16 to 62 years old, with an average age of 30. Chest stab wound in 21 cases, automobile accidents injury in five cases, 22 cases of admission check hemopneumothorax and hemothorax four cases. 1.2 Methods intubation anesthesia, the contralateral supine axillary line 7 to 8 intercostal incision, placed in the casing and thoracoscopy exploration in the monitoring of the video-assisted thoracoscopy, the original mouth into the suction exhaust intrathoracic blood clots, according to the situation in the anterior axillary line intercostal or axillary lines 6 to 7 intercostal incision into the casing and equipment operations, and conventional equipment available Chest insert from the original wound. the end of surgery after axillary line seven to eight intercostal puncture put a chest tube. 1.3 the results of exploration found 22 cases of lung laceration, intercostal artery bleeding in four cases, and 1 cases of pericardial tamponade, diaphragmatic rupture, chest and abdomen through injury in two cases, two cases of exploration without exception transit open the chest in addition to the three cases, other patients were suture and suture hemostasis successful completion of the surgery. The operation time was 30 to 102 min, postoperative chest tube indwelling for 3 days, the whole group of patients with postoperative recovery was smooth, hospital 5 to 14 days, an average of 7 days without complications and deaths occur. 2 Discussi