胸腔镜

Objective To evaluate the effect of video-assisted thoracoscopic surgeryand video-assisted minithoraco-tomy surgeryon diagnosis and treatment of traumatic euplastic hemothorax.

目的 探讨外伤性机化性血胸的病因、手术适应证及电视胸腔镜手术和电视胸腔镜小切口手术在诊治中的作用。

VATS for hemothorax is with the advantages of minimal invasion,quicker recovery,fewer complications and tiny scar.Most of traditional hemothorax can be diagnosed and treated by VATS.It is a safe and effective method,and worth being promoted clinically.

合理应用胸腔镜治疗血胸具有创伤小、康复快、并发症少和瘢痕小等优点，大部分血胸手术可由胸腔镜完成，是值得临床推广、安全有效的治疗方法。

Methods Video-assisted thoracic surgery,indispensable using supplementarily small-sized incision were performed pleural effusion,pyothorax,spontaneous pneumothorax,hydatid disease of lung,the diseases such as chest trauma and so on under twin cavity single lungs of trachea intubaing of gen-eral anesthesia.

采用电视胸腔镜下手术，必要时胸腔镜辅助小切口对胸腔积液、脓胸、自发性气胸、肺包虫病、胸外伤等疾病在全身####双腔气管插管单肺通气下进行手术。

The thoracoscopy operation group used femoral artery and vein cannulation to establish CPB; Right arillary minithoracotomy group used ascending aorta and right angle vena cava cannulation to establish CPB; Median sternotomy group used regular cannulation to establish CPB.

59例房间隔缺损患者分别采用：胸壁打孔全胸腔镜(15例)、右腋下小切口(19例)及胸骨正中切口(25例)三种术式完成，胸腔镜组采用股动、静脉插管建立CPB；右液下小切口采用升主动脉、直角腔静脉插管建立CPB；正中切口采取常规插管方法建立CPB。

（1）Bullae of lung ruptured spontaneous pneumothorax is the best indication for VATS,which has the advantages of less trauma and ache,short operation time,quick recovery and small incision;（2）Recurrent unilateral spontaneous pneumothorax with contineous air leakage of 7 days after closed thoracic drainage,bilateral spontaneous pneumothorax should be treated by VATS;（3）Spontaneous pneumothorax with pleura adhesion can be treated by pneumonolysis and bullae of lung excision under thoracoscopy assisted small incision operation.

疗效满意。结论：（1）肺大泡破裂自发性气胸是胸腔镜手术最佳的适应证，与传统开胸手术相比，胸腔镜手术具有患者创伤小，手术时间短，术后疼痛轻，康复快，符合美容要求等特点；（2）反复发作的单侧自发性气胸，行胸腔闭式引流术后持续漏气7d，双侧自发性气胸，不论是否同时发作都可考虑胸腔镜手术治疗；（3）自发性气胸并胸膜粘连可用胸腔镜辅助小切口行粘连松解肺大泡切除术；（4）为减少一次性材料的消耗，降低手术成本，可辅助小切口使用常规胸科手术器械完成手术；（5）为减少术后复发率需行胸膜固定术。

Results Blow the pure video-assisted thoracic surgery completed operation6cases（46%）,utlizing supplementarily small-sized incision completed operation5cases（38%）,changing trains to turn on chest operation2cases（15%）.

结果 单纯胸腔镜下完成手术6例，占46%；胸腔镜辅助小切口完成手术5例，占38%；中转开胸手术2例，占15%。

Methods Video-assisted thoracic surgery,indispensable using supplementarily small-sized incision were performed pleural effusion,pyothorax,spontaneous pneumothorax,hydatid disease of lung,the diseases such as chest trauma and so on under twin cavity single lungs of trachea intubaing of gen-eral anesthesia.

采用电视胸腔镜下手术，必要时胸腔镜辅助小切口对胸腔积液、脓胸、自发性气胸、肺包虫病、胸外伤等疾病在全身麻醉双腔气管插管单肺通气下进行手术。

Methods Video-assisted thoracic surgery,indispensable using supplementarily small-sized incision were performed pleural effusion,pyothorax,spontaneous pneumothorax,hydatid disease of lung,the diseases such as chest trauma and so on under twin cavity single lungs of trachea intubaing of gen-eral anesthesia.

目的 探讨电视胸腔镜手术诊断和治疗高原地区胸内各种疾病及其优越性。方法采用电视胸腔镜下手术，必要时胸腔镜辅助小切口对胸腔积液、脓胸、自发性气胸、肺包虫病、胸外伤等疾病在全身麻醉双腔气管插管单肺通气下进行手术。

Methods Video-assisted thoracic surgery,indispensable using supplementarily small-sized incision were performed pleural effusion,pyothorax,spontaneous pneumothorax,hydatid disease of lung,the diseases such as chest trauma and so on under twin cavity single lungs of trachea intubaing of gen-eral anesthesia.

目的 探讨电视胸腔镜手术诊断和治疗高原地区胸内各疾病及其优越性方法采用电视胸腔镜下手术，必要时胸腔镜辅助小切口对胸腔积液、脓胸、自发性气胸、肺包虫病、胸外伤等疾病在全身麻醉双腔气管插管单肺通气下进行手术。

object: To investigate the effective method of treating spontaneous pneumothorax by thoracoscope and summarize its curative experience.

目的 探讨内科电子胸腔镜治疗自发性气胸的有效方法，总结肺自发性气胸的内科胸腔镜的治疗经验。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。