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[创伤后凝固性血胸的治疗。电视胸腔镜手术或开放手术]

[Treatment of post-traumatical coagulated hemothorax. Videothoracoscopy or open surgery].

作者信息

Shipulin P P, Baĭdan V I, Baĭdan V V, Koziar O N, Mart'iniuk V A, Severhin V E, Kiriliuk A A, Poliak S D, Aheev S V, Ahrakhari Amit

出版信息

Klin Khir. 2012 Mar(3):40-2.

PMID:22702121
Abstract

Comparative estimation of videothoracic and open surgery efficacy in the treatment of post-traumatic coagulated hemothorax have been shown in 612 patients. According to the achieved results, effectiveness of videothoracoscopy (92.4%) is better than open surgeries. Apart from that, reduction in the hospitalization days (9.6 days compared to 11.5 days in open surgeries), frequency of complications (4.5% and 13.8%), traumatic intervention and rehabilitation time. All the patients alive. Best results are achieved using videothoracoscopical operations at the earliest in posttraumatic coagulated hemothorax.

摘要

对612例创伤后凝固性血胸患者进行了电视胸腔镜手术与开胸手术治疗效果的比较评估。根据所取得的结果,电视胸腔镜手术的有效性(92.4%)优于开胸手术。除此之外,住院天数减少(电视胸腔镜手术为9.6天,开胸手术为11.5天),并发症发生率降低(分别为4.5%和13.8%),创伤干预及康复时间缩短。所有患者均存活。创伤后凝固性血胸尽早采用电视胸腔镜手术可取得最佳效果。

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