Bagnenko S F, Tulupov A N, Balabanova O V
Vestn Khir Im I I Grek. 2007;166(6):32-5.
Therapeutic-diagnostic videothoracoscopy was used in complex treatment of hemothorax in 86 patients for isolated and combined stab-slash wounds and closed traumas of the chest. Thoracoscopy was not used in 321 patients with the same pathology taken as control. It was found that videothoracoscopy used for medium and big hemothorax always allowed the doctors to make the precise topical diagnosis of chest injury and due to medicinal endosurgical manipulations the thoracotomies were made 2.1 times more rarely, the duration of pleural drainage was 2.2 times shorter. Complications of the traumatic disease were 1.6 times less often, the time of in-patient treatment and lethality 1.3 times less.
治疗诊断性电视胸腔镜被用于86例血胸患者的综合治疗,这些患者有孤立性和复合性刺伤-砍伤以及胸部闭合性创伤。321例有相同病理情况的患者未使用胸腔镜作为对照。结果发现,用于中、大量血胸的电视胸腔镜总能让医生对胸部损伤做出精确的局部诊断,并且由于药物性内镜手术操作,开胸手术的次数减少了2.1倍,胸腔引流的持续时间缩短了2.2倍。创伤性疾病的并发症减少了1.6倍,住院治疗时间和死亡率减少了1.3倍。