血胸

The operative diseases include sponlanevus pneumothorax, pulmonary bulla, trauma hemothorax, empyema, pernicious hydrothorax, mediastina tumor, esophageal diseases and lung diseases, etc.

手术疾病包括自发性气胸、肺大疱、外伤性血胸、脓胸、恶性胸水、纵隔肿瘤、食管和肺疾病等。

The concept of hemothorax, resource variation of pathophysiology and clinical manifestations of hematocele of pleural cavity; during treatment how to discriminate non-progressive ,progressive and coagulating hemothorax and adopt corresponding non-operative therapy and operative therapy .

血胸的概念，胸膜腔积血的来源，病理生理改变，临床表现。治疗必须区分非进行性，进行性血胸或凝固性血胸而采取非手术疗法及手术治疗。

Methods:The clinical data of 68 patients with hemothorax undergone videoassisted thoracoscopy and 18 patients undergone thoracotomy in recent 3 years were analyzed retrospectively.

回顾性分析3年来VATS治疗68例血胸患者的临床资料，并与同期的18例开胸术（Thoracotomy，TH）作比较。

Methods:The clinical data of 68 patients with hemothorax undergone video?assisted thoracoscopy and 18 patients undergone thoracotomy in recent 3 years were analyzed retrospectively.

回顾性分析3年来VATS治疗68例血胸患者的临床资料，并与同期的18例开胸术（Thoracotomy，TH）作比较。

Results Of 177 cases,contusion of lung(n=115),traumatic wet lung (n=17),laceration of lung and hematomas of lung (n=16),atelectasis and consolidation (n=24)(includingthedelayed11),hemothorax(n=85)(includingthedelayed21)pneumothorax(n=17),pneumohemothorax (n=15),hemomediastinum(n=7),peumomediastinum(n=9),fracture of rib (n=94) and other organs' injuries.

结果：177例中肺挫伤115例，湿肺17例，肺撕裂伤及肺内血肿16例，肺不张及肺实变24例，其中11例为迟发性肺不张，血胸85例，其中21例为迟发性血胸，气胸17例，血气胸15例，纵隔血肿7例，纵隔积气9例，肋骨骨折94例，以及合并其他脏器损伤。

Hemothorax: accumulation of blood in the pleural cavity (the space between the lungs and the walls of the chest).

血胸：各种原因所致的胸膜腔内积血、肺萎陷称为血胸。

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。

The reuse autohemotransfusion is suitable for the operation,particularly severe traumatic hemothorax,abdominal blood in the course of the rescue operation because of allogeneic blood difficulties.

回收式自体输血适宜于术中，尤其严重外伤性血胸、血腹在抢救性手术过程中因异体血源困难时。

Early diagnosis, rapid preoperative liquid transfusion, rapid operation and autoblood transfusion are the key steps to the treatment of massive traumatic hemothorax.

术前快速补充血容量、及时开胸止血、术中输血和自体血回输是治疗严重创伤性血胸的关键。

As compared with the tradition opening thorax operation, it's shorter than the before time of operation and being in hospital, the wound less than before, better economy, and direct exscinded pathological changes pleura below the orthoptic contemplation then delivered for the examining.

应用胸腔镜治疗血胸、胸腔积液疗效肯定，较传统开胸手术时间短，住院时间短，创伤小，经济，并能在直视下切取病变胸膜活检。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。