Video-assisted thoracic surgery for 22 patients with stab wound to the chest_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 国建飞 , 檀振波 , 邢琳琳 , 张涛 , 李德茂

河北医科大学附属邢台人民医院胸外科（河北邢台 054001）;

Corresponding author：

国建飞, Email: potatoabc@126.com

Keywords：

胸腔镜; 胸部刀刺伤; 胸部穿透伤

DOI：

10.7507/1007-4848.201603013

Video：

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目的探讨电视胸腔镜手术（VATS）在胸部刀刺伤中的应用价值。方法回顾性分析我院 2012～2015 年 22 例胸部刀刺伤行 VATS 诊治的临床资料。其中男 20 例、女 2 例，年龄 26.5（17～48）岁。结果行 VATS 18 例，肺破裂修补 12 例，出血血管钛夹、电凝止血 4 例，肺破裂及膈肌破裂修补 2 例；辅助小切口手术 2 例，肋间动脉缝扎止血 1 例，膈肌修补 1 例；中转开胸行心室壁修补术 1 例，胸腔镜下膈肌破裂修补合并开腹行肝破裂修补术 1 例。全组无手术死亡，无术后严重并发症。结论 VATS 安全、有效、创伤小，早期应用有助于降低胸部刀刺伤患者的死亡风险。

Citation： 国建飞, 檀振波, 邢琳琳, 张涛, 李德茂. Video-assisted thoracic surgery for 22 patients with stab wound to the chest. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(8): 655-656. doi: 10.7507/1007-4848.201603013 Copy

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2.	Goodman M, Lewis J, Guitron J, et al. Video-assisted thoracoscopic surgery for acute thoracic trauma. J Emerg Trauma Shock, 2013, 6(2): 106-109.
3.	Kong VY, Sartorius B, Clarke DL, et al. The selective conservative management of penetrating thoracic trauma is still appropriate in the current era. Injury, 2015, 46(1): 49-53.
4.	Kharytaniuk N, Bass GA, Salih A, et al. Penetrating stab injuries at a single urban unit: are we missing the point? Ir J Med Sci, 2015, 184(2): 449-455.
5.	禹亮, 张健, 王雪峰, 等. 电视胸腔镜在胸部外伤中应用的研讨. 中国微创外科杂志, 2005, 5(12): 999-1000.
6.	陈椿, 林培裘, 林若柏, 等. 急诊电视胸腔镜诊治刀刺伤所致胸外伤. 创伤外科杂志, 2007, 9(6): 518-520.
7.	郝青, 孙岩, 温艳春, 等. 胸腔镜探查术在 28 例胸部刀刺伤诊断及治疗中的应用. 山东医药, 2011, 51(18): 52-53.
8.	贾伟, 于文江, 岳志, 等. 电视辅助胸腔镜诊治胸部外伤 30 例. 中国临床保健杂志, 2013, 16(3): 304-305.
9.	林凌, 刘金波, 陈振岗, 等. 胸腔镜治疗胸部损伤的疗效观察. 医学理论与实践, 2015, 28(12): 1557-1565.
10.	Voskresenskiĭ OV, Radchenko IuA, Abakumov MM. Possibilities of videothoracoscopy for penetrating thoracic injuries. Khirurgiia (Mosk), 2015, (7): 20-26.
11.	陈莉, 吕发金, 张丽娟, 等. 胸腔积液量的多层螺旋 CT 定量研究. 临床放射学杂志, 2012, 31(6): 809-811.
12.	Freeman RK, Al-Dossari G, Hutcheso KA, et al. Indicationg for using video-assisted thoracoscopic surgery to diagnose diaphragmatic injuries after penetrating chest trauma. Ann Thorac Surg, 2001, 72(2): 342-347.
13.	Meteroğlu F, Şahin A, Başyiğit İ, et al. Diaphragmatic injury: condition be noticed in the management of thoracic trauma. Ulus Travma Acil Cerrahi Derg, 2015, 21(6): 514-519.
14.	任迎春, 曹丽娟, 黄刚, 等. 胸部刀刺伤后膈肌损伤的胸腔镜探查诊治. 中华创伤杂志, 2012, 28(11): 979-982.
15.	Hood RM. Traumatic diaphragmatic hernia. Ann Thorac Surg, 1971, 12(3): 311-324.
16.	刘宏涛, 李俊海, 鲁明, 等. 经电视胸腔镜诊治创伤性膈肌破裂 38 例. 陕西医学杂志, 2008, 37(10): 1931-1932.

1. 石应康. 胸部创伤外科的历史回顾与展望. 中国胸心血管外科临床杂志, 2014, 21(3): 399-401.
2. Goodman M, Lewis J, Guitron J, et al. Video-assisted thoracoscopic surgery for acute thoracic trauma. J Emerg Trauma Shock, 2013, 6(2): 106-109.
3. Kong VY, Sartorius B, Clarke DL, et al. The selective conservative management of penetrating thoracic trauma is still appropriate in the current era. Injury, 2015, 46(1): 49-53.
4. Kharytaniuk N, Bass GA, Salih A, et al. Penetrating stab injuries at a single urban unit: are we missing the point? Ir J Med Sci, 2015, 184(2): 449-455.
5. 禹亮, 张健, 王雪峰, 等. 电视胸腔镜在胸部外伤中应用的研讨. 中国微创外科杂志, 2005, 5(12): 999-1000.
6. 陈椿, 林培裘, 林若柏, 等. 急诊电视胸腔镜诊治刀刺伤所致胸外伤. 创伤外科杂志, 2007, 9(6): 518-520.
7. 郝青, 孙岩, 温艳春, 等. 胸腔镜探查术在 28 例胸部刀刺伤诊断及治疗中的应用. 山东医药, 2011, 51(18): 52-53.
8. 贾伟, 于文江, 岳志, 等. 电视辅助胸腔镜诊治胸部外伤 30 例. 中国临床保健杂志, 2013, 16(3): 304-305.
9. 林凌, 刘金波, 陈振岗, 等. 胸腔镜治疗胸部损伤的疗效观察. 医学理论与实践, 2015, 28(12): 1557-1565.
10. Voskresenskiĭ OV, Radchenko IuA, Abakumov MM. Possibilities of videothoracoscopy for penetrating thoracic injuries. Khirurgiia (Mosk), 2015, (7): 20-26.
11. 陈莉, 吕发金, 张丽娟, 等. 胸腔积液量的多层螺旋 CT 定量研究. 临床放射学杂志, 2012, 31(6): 809-811.
12. Freeman RK, Al-Dossari G, Hutcheso KA, et al. Indicationg for using video-assisted thoracoscopic surgery to diagnose diaphragmatic injuries after penetrating chest trauma. Ann Thorac Surg, 2001, 72(2): 342-347.
13. Meteroğlu F, Şahin A, Başyiğit İ, et al. Diaphragmatic injury: condition be noticed in the management of thoracic trauma. Ulus Travma Acil Cerrahi Derg, 2015, 21(6): 514-519.
14. 任迎春, 曹丽娟, 黄刚, 等. 胸部刀刺伤后膈肌损伤的胸腔镜探查诊治. 中华创伤杂志, 2012, 28(11): 979-982.
15. Hood RM. Traumatic diaphragmatic hernia. Ann Thorac Surg, 1971, 12(3): 311-324.
16. 刘宏涛, 李俊海, 鲁明, 等. 经电视胸腔镜诊治创伤性膈肌破裂 38 例. 陕西医学杂志, 2008, 37(10): 1931-1932.

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Video-assisted thoracic surgery for 22 patients with stab wound to the chest

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