Kopp C, Perruchoud A, Schwander R, Herzog H
Schweiz Med Wochenschr. 1979 Mar 31;109(13):478-80.
Thoracoscopy is a method involving little discomfort for the patient but of high diagnostic effectiveness for pleural alterations. A histological diagnosis was established in 56 cases out of a total of 60 pleural effusions of unknown origin. In 10 pleural or pleuropulmonary diseases, anatomical classification was possible in all cases. In cases of pneumothorax (21 patients) the bronchopleural fistula could very often be seen and closure by detaching of pleural adhesions or cauterization was possible. These manipulations are usually followed by insufflation of sterile talcum powder through the thoracoscope. Suspicion of ruptured diaphragm due to accident was easily and quickly verified. No complications occurred in our 100 thoracoscopic examinations.
胸腔镜检查是一种给患者带来很少不适但对胸膜病变具有高诊断效力的方法。在总共60例不明原因的胸腔积液中，56例确立了组织学诊断。在10例胸膜或胸膜肺部疾病中，所有病例均可行解剖学分类。在气胸病例（21例患者）中，经常可以看到支气管胸膜瘘，通过分离胸膜粘连或烧灼有可能实现闭合。这些操作之后通常通过胸腔镜注入无菌滑石粉。因意外导致膈肌破裂的怀疑很容易且迅速得到证实。在我们的100例胸腔镜检查中未发生并发症。
