Konobu T, Nakamura T, Murao Y, Nishio K, Imanishi M, Miyamoto S, Konishi N, Tabuse I L
Department of Emergency and Critical Care Medicine, Nara Medical University Hospital, Japan.
Kyobu Geka. 1997 May;50(5):425-7.
A 55-year-old man was admitted to the private hospital with chief complaints of left chest pain and increasing dyspnea. Chest X ray on admission revealed a collapsed lung and an air fluid line in the left hemothorax. A chest tube drainage was carried out, but hemorrhagic pleural fluid of 1,000 ml was drainaged. So was the patient transferred to our hospital for surgical treatment. Following blood transfusion because of hemorrhagic pleural fluid of 1,500 ml, urgent surgery was carried out. At the operation under thoracoscope, the bleeding from the apex of the thoracic cavity was noted. The bleeding was controlled with endoscopic surgical clip. As it was, however, very difficult to remove massive blood clots under endoscopic surgery, a small thoracotomy was carried out in addition to the thoracoscopic surgery, then the bulla in the apex of left lung was resected and also removed a large amount of blood clots.
一名55岁男性因左胸痛和进行性呼吸困难入住私立医院。入院时胸部X光显示肺萎陷，左侧血胸内有气液平面。进行了胸腔闭式引流，但引出了1000毫升血性胸腔积液。于是患者被转至我院接受手术治疗。因血性胸腔积液达1500毫升而进行输血后，实施了紧急手术。在胸腔镜手术中，发现胸腔顶部出血。用内镜手术夹控制了出血。然而，在内镜手术下很难清除大量血凝块，因此除了胸腔镜手术外，还进行了小切口开胸手术，然后切除了左肺顶部的肺大疱，并清除了大量血凝块。
