Srinivasan Arjun, Sivaramakrishnan Mahadevan, Pattabhiraman Vallandramam R, Vinod V G
Department of Pulmonary Medicine, Royal Care Super Speciality Hospital, Coimbatore, Tamil Nadu, India.
Lung India. 2019 Jul-Aug;36(4):356-359. doi: 10.4103/lungindia.lungindia_225_18.
Hemothorax is an important complication of blunt trauma chest. The presentation may be delayed, especially in elderly patients with multiple rib fractures. Delayed presentation can be associated with retained hemothorax where a simple chest drain is often insufficient to evacuate the pleural cavity. Video-assisted thoracoscopy surgery is often used to manage such patients in a minimally invasive manner. Here, we demonstrate a novel application of flexi-rigid thoracoscopy with CryoProbe for evacuation of retained hemothorax in an elderly woman through a subcentimeter incision.
血胸是钝性胸部创伤的一种重要并发症。其表现可能会延迟出现,尤其是在患有多根肋骨骨折的老年患者中。延迟表现可能与胸腔内积血残留有关,此时单纯的胸腔引流往往不足以排空胸腔。电视辅助胸腔镜手术常被用于以微创方式治疗此类患者。在此,我们展示了一种新型的应用柔性硬质胸腔镜及冷冻探头,通过一个小于一厘米的切口来排空一位老年女性胸腔内积血残留的方法。