【摘要】 目的总结有肾区手术史的腹腔镜肾癌根治术后气胸的诊治体会。方法 2000年1月至2013年8月,中山大学附属第三医院有肾区手术史的腹腔镜肾癌根治术后共发现8例气胸患者,均经胸部X片证实,其中右侧5例,左侧3例。4例患者予以观察保守治疗,4例患者予以胸腔穿刺置管抽气治疗。结果 4例保守观察治疗气胸患者吸收好转后出院,4例行胸腔穿刺置管抽气治疗患者平均带管时间36 h,均好转出院,平均住院时间8 d,无一例患者出现脓胸。结论有肾区手术史的腹腔镜肾癌根治术后并发气胸应及时发现,立刻处理。更多还原

【Abstract】 Objective To study the mechanism, treatment and preventive measures of pneumothorax in laparoscopic radical nephrectomy with a history of retroperitoneal operation. Methods From January2000 to August 2013, the total of 8 patients were confirmed by chest x-ray after laparoscopic radical nephrectomy with a history of retroperitoneal operation in our hospital. The pneumothorax of 5 patients were in the right chest and the other 3 were in the left chest. 4 patients were under observation and the other 4 patients received thoracocentesis. Results 4 patients under observation were discharged after pneumothorax were absorbed. The other patients under thoracocentesis were cured, the average time with pipe was 36 h and the average duration of hospitalization was 8 d. None of the patients had empyema.Conclusions Pneumothorax in laparoscopic radical nephrectomy with a history of retroperitoneal operation should be timely detected and immediately treated.更多还原