Agarwal R, Aggarwal A N, Gupta D
Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh 160012, India.
Singapore Med J. 2006 Nov;47(11):984-6.
The immediate treatment of haemothorax is thoracostomy tube insertion. One complication of haemothorax is retained blood and if improperly managed, this can lead to complications such as empyema and fibrothorax. The ideal management of clotted haemothorax is a matter of controversy. Video-assisted thoracoscopic surgery (VATS) is believed to be the best available modality for the management of clotted haemothorax. However, VATS is not routinely available in many centres. One easily available and effective alternative to VATS is the use of intrapleural fibrinolysis. We report the successful management of a post-traumatic clotted haemaothorax in a 34-year-old man, using intrapleural instillation of streptokinase, and review the literature on the management of clotted haemothorax.
血胸的紧急治疗是插入胸腔引流管。血胸的一个并发症是血液残留，如果处理不当，这可能导致诸如脓胸和纤维胸等并发症。凝固性血胸的理想治疗方法存在争议。电视辅助胸腔镜手术（VATS）被认为是治疗凝固性血胸的最佳可用方式。然而，许多中心并非常规配备VATS。一种易于获得且有效的VATS替代方法是胸膜腔内纤维蛋白溶解疗法。我们报告了一名34岁男性创伤后凝固性血胸通过胸膜腔内注入链激酶成功治疗的病例，并回顾了关于凝固性血胸治疗的文献。
