【摘要】 目的探讨自发性血气胸的最佳治疗方法。方法回顾性分析我们自1990年12月-2005年9月共收治的自发性血气胸94例,其中30例施行微创手术治疗,22例经腋下小切口手术,8例行胸腔镜手术止血,与同期保守治疗随机30例自发性血气胸进行对比分析。结果两组病例均全部治愈。治疗组术后并发症1例胸腔感染,1例漏气;而保守组4例胸腔感染,2例漏气。住院天数手术组平均6 d;保守组13 d;胸腔引流量手术组平均800 m l,保守组1 208m l;术后带闭式引流管时间54 h,保守组144 h;均与对照组差异有统计学意义(P<0.01)。结论腋下小切口或电视胸腔镜手术是自发性血气胸极佳治疗方法。自发性血气胸一经确诊,宜尽早行手术治疗。更多还原

【Abstract】 Objective To explore the best therapeutic regimen for treating spontaneous hemopneumothorax(SHP).Methods The data of 94 SHP patients,who hospitalized in our hospital from Dec.1990 and Sep.2005,including 30 cases received minimally invasive surgery,22 subaxillary mini-thoracotomy,8 Video-assisted thoracic surgery(VATS),30 conservative treatment,were analyzed and compared respectively.Results All the patients were discharged from our hospital.The complications after thoracotomy included one infection of thoracic cavity and one air leakage.However,there were 4 cases of thoracic cavity infection and 2 air leakage occurring in the group of conservative treatment.The mean hospital days were 6 and 13 days, mean volume of chest drainage were respectively 800ml and 1208 ml in two groups,duration of drainage tube detained were 54 and 144 hours,in the surgery and conservative group respectively.There was obviously difference among them(P<0.01).Conclusions The subaxillary mini-thoracotomy or VATS was best treatment for the SPH.Early thoracotomy should be considered once the diagnosis of SHP is confirmed.更多还原