普胸外科术后出血和凝固性血胸是需要再手术的主要原因,积极处理胸腔内出血时更应做好多方面评估,以增加对手术的掌控度。本文就胸腔术后出血量化评估、出血部位和原因、止血方法、输血指征、胸腔引流管选择、手术并发症及术后快速康复等方面进行论述。 Postoperative thoracic surgery bleeding and coagulation hematopoiesis is the main reason for reoperation, positive treatment of intrathoracic bleeding should be evaluated in many aspects, in order to increase the control of the operation. This article discusses the quantification of postoperative thoracic bleeding, the site and cause of bleeding, the method of stopping bleeding, the indication of transfusion, the choice of drainage tube, the complication of operation and the rapid rehabilitation after operation.