论文部分内容阅读
目的探讨普胸术中分离广泛胸膜粘连合并胼胝体样粘连而出现胸腔广泛渗血的应对策略。方法本院胸外一科2010年8月至2012年8月普胸手术中,对30例术中胸腔广泛渗血常规止血难以控制的病例采用封闭式纱布填塞渗血区胸腔局部压迫的方法进行总结分析。结果 30例患者有效地控制了出血,无一例术后胸腔大出血而二次开胸,3例术后出现围术期感染并发症发生,无围术期死亡病例。结论封闭式纱布填塞法可减少胸腔大出血避免二次开胸的手术风险,降低围术期死亡率,是一种有效应对普胸术中胸腔广泛渗血的方法之一。
Objective To discuss the coping strategies of extensive pleural adhesions combined with corpus callosum adhesions in general thoracic surgery. Methods Thoracic surgery in our department from August 2010 to August 2012 in thoracic surgery, 30 cases of intraoperative thoracic extensive bleeding is difficult to control the conventional bleeding cases closed gauze padding oozing area thoracic local oppression method Analyzed. Results Thirty patients effectively controlled the bleeding. No thoracotomy occurred after thoracotomy. Three patients had complications of perioperative infection and no perioperative deaths occurred. Conclusion Closed gauze packing method can reduce the risk of thoracic hemorrhage to avoid the risk of secondary thoracotomy and reduce the perioperative mortality rate. It is one of the effective ways to deal with extensive thoracic bleeding in general thoracotomy.