Kitano M, Kaseda S, Inoue J
Department of Surgery, Saiseikai Kanagawa-ken Hospital, Yokohama, Japan.
Kyobu Geka. 1994 May;47(5):413-5.
A 32-year-old man was admitted to our hospital complaining of chest pain and increasing dyspnea. Chest X-ray on admission revealed a collapsed lung and an air fluid line in the left hemithorax. Shock developed following drainage of 1,500 ml hemorrhagic pleural fluid. Following blood transfusion, emergency surgery was carried out. At operation under thoracoscopic guidance, a bleeding artery originating from the apex of the thoracic cavity and a bulla on the upper lobe were noted. The artery was successfully ligated with surgical clip, and the bulla was resected using EndoGIA. This case report indicates that hemopneumothorax can be safely operated on under thoracoscopic guidance after the patient has recovered from shock by adequate blood transfusion.
一名32岁男性因胸痛和进行性呼吸困难入院。入院时胸部X线显示左肺萎陷，左半胸有气液平面。引流1500毫升血性胸腔积液后出现休克。输血后进行了急诊手术。在胸腔镜引导下手术时，发现一根起源于胸腔顶部的出血动脉和上叶的一个肺大疱。动脉用手术夹成功结扎，肺大疱用EndoGIA切除。本病例报告表明，在患者经充分输血从休克中恢复后，可在胸腔镜引导下安全地对血气胸进行手术。
