Evaluation and management of thoracic cavity hemorrhage during general thoracic surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CAO Huihui , XIAO Xi ,  MENG Hui

Department of Thoracic Surgery, Hospital of Lanzhou Army, Lanzhou, 730050, P.R.China;

Corresponding author：

MENG Hui, Email: mhgl2008@163.com

Keywords：

General thoracic surgery; postoperative hemorrhage; hemostasis; blood transfusions; complication; enhanced recovery after surgery

DOI：

10.7507/1007-4848.201604065

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Postoperative bleeding and coagulation hemothorax is the primary cause for re-operation after general thoracic surgical procedures. We should do a good job in the assessment of preoperative factors to increase the operation control. This article mainly introduces the thoracic surgery bleeding quantitative assessment, bleeding location and cause, hemostasis, transfusion trigger, pleural drainage tube selection, surgical complications, enhanced recovery after surgery and so on.

Citation： CAO Huihui, XIAO Xi, MENG Hui. Evaluation and management of thoracic cavity hemorrhage during general thoracic surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(8): 640-644. doi: 10.7507/1007-4848.201604065 Copy

1.	Foroulis CN, Kleontas A, Karatzopoulos A. Early reoperation performed for the management of complications in patients undergoing general thoracic surgical procedures. J Thorac Dis, 2014, 6(Suppl 1): S21-31.
2.	Biere SS, Maas KW, Bonavina L, et al. Traditional invasive vs. minimally invasive esophagectomy: a multi-center, randomized trial (TIME-trial). BMC Surg, 2011, 11: 2.
3.	Sosa CG, Althabe F, Belizan JM, et al. Risk factors for postpartum hemorrhage in vaginal deliveries in a Latin-American population. Obst Gynecol, 2009, 113(6): 1313-1319.
4.	陈铮立, 李建荣, 王树超, 等. 神经外科手术出血量的统计分析和输血策略. 中国输血杂志, 2014, 27(4): 400-402.
5.	Lang DL, Zhao FL, Robertson J. Prevention of postpartum haemorrhage: cost consequences analysis of misoprostol in low-resource settings. BMC Pregnancy Childbirth, 2015, 23(15): 305.
6.	张高峰, 孙战文. 普胸外科术后二次开胸止血 19 例体会. 中国现代手术学杂志, 2014, 18(6): 457-459.
7.	茆勇, 应佑国. ICU 食管癌术后肺部并发症的临床调查研究. 现代肿瘤医学, 2015, 23(21): 3081-3083.
8.	谢琴, 莫占端, 华润, 等. 老年食管癌患者术后肺部感染影响因素与预防干预研究. 中华医院感染学杂志, 2016, 26(2): 346-348.
9.	Schweigert M, Solymosl N, Dubecz A, et al. Emergency oesophagectomy for oesophageal perforation after chemoradiotherapy for oesophageal cancer. Ann Roy Coll Surg Eng, 2015, 97(2): 140-145.
10.	Kuwano H, Nishimura Y, Oyama T, et al. Guidelines for diagnosis and treatment of carcinoma of the esophagus april 2012 edited by the Japan Esophageal Society. Esophagus, 2012, 379(9829): 1887-1892.
11.	丁凯, 周晓燕, 唐春立, 等. 15 例普通胸外科术后患者胸腔内出血部位、原因及处理. 山东医药, 2013, 53(27): 58-59.
12.	苏志勇, 张镱镭, 姜天烁, 等. 电视胸腔镜手术中控制出血的技术方法. 中国胸心血管外科临床杂志, 2013, 20(2): 244-246.
13.	Singla S, Sachdeva R, Uertsky BF. The risk of adverse cardiac and bleeding events following noncardiac surgery relative to antiplatelet therapy in patients with prior percutaneous coronary intervention. J Am Coll Cardiol, 2012, 60(20): 2005-2020.
14.	李永博. 术中喷洒凝血酶对开胸手术术后引流的影响. 河北: 河北医科大学, 2014.
15.	仲照奎. 普胸外科术后血胸的手术处理探讨. 中国现代药物应用, 2016, 10(1): 92-93.
16.	Plaksin SA, Petrov ME. Early rethoracotomies for diseases and chest traumas. Vestnik khirurgii imeni ⅡGrekova, 2012, 171(5): 20-22.
17.	Parshin VD, BiriukovI IuV, Gudovskii AM, et al. Rethoracotomy in thoracic surgery. Khirurgiia, 2012, (5): 4-9.
18.	Ermolov AS, Stonogin VD. Rethoracotomy because of hemorrhage in the early postoperative period after operations on the lungs and mediastinal organs. Vestnik khirurgii imeni ⅡGrekova, 1996, 155(3): 67-70.
19.	Carson JL, Grossman BJ, Kleinman S, et al. Red blood cell transfusion: a clinical practice guideline from the AABB. Ann Inter Med, 2012, 157(1): 49-58.
20.	廖刃, 刘进. 华西围术期输血指征评分——以临床需求为目标的输血评分. 中国胸心血管外科临床杂志, 2014, 21(2): 145-146.
21.	魏新广, 管玉龙. 优化围术期血液管理. 中国胸心血管外科临床杂志, 2016, 23(4): 390-394.
22.	Weltert L, Rondinelli B, Bello R, et al. A single dose of erythropoietin reduces perioperative transfusions in cardiac surgery: results of a prospective single-blind randomized controlled trial. Transfusion, 2015, 55(7): 1644-1654.
23.	马丹, 杨梅, 樊骏, 等. 胸腔镜肺叶切除术后引流管管径对患者舒适度影响的前瞻性队列研究. 中国胸心血管外科临床杂志, 2015, 22(10): 928-931.
24.	韩兆杰, 宋志芳, 苏建华, 等. 单胸腔引流管在肺癌术后快速康复中的应用. 中国胸心血管外科临床杂志, 2014, 21(1): 7-11.
25.	杨梅, 樊骏, 周红霞, 等. 胸腔镜肺癌肺叶切除术后 16F 较 28F 胸腔引流管应用的临床优势. 中国肺癌杂志, 2015, 18(8): 512-518.
26.	张德明, 赵金平. 两种胸腔引流方式在肺叶切除术后患者中应用的病例对照研究. 中国胸心血管外科临床杂志, 2016, 23(2): 156-159.
27.	何哲浩, 杨运海, 张翀. 达芬奇机器人胸部手术后优化胸腔引流策略的初步探索. 中国胸心血管外科临床杂志, 2015, 22(10): 919-922.
28.	魏宁, 蔺瑞江, 胡文腾, 等. 颈部与胸部吻合对食管癌术后并发症影响的系统评价与 Meta 分析. 中国胸心血管外科临床杂志, 2016, 23(1): 50-54.
29.	Phillips B R. Reducing gastrointestinal anastomotic leak rates: review of challenges and solutions. Open Access Surg, 2016, 9(5): 5-14.
30.	Hellan M, Spinoglio G, Pigazzi A. The influence of fluorescence imaging on the location of bowel transection during robotic left-sided colorectal surgery. Surg Endosc, 2014, 28(5): 1695-1702.
31.	Protyniak B, Dinallo AM, Boyan WP Jr, et al. Intraoperative indocyanine green fluorescence angiography-an objective evaluation of anastomotic perfusion in colorectal surgery. Am Surg, 2015, 81(6): 580-584.
32.	文玉琴, 何丽, 李丽霞. 胸腹腔镜联合食管癌根治术患者感染预防与控制研究. 中华医院感染学杂志, 2016, 26(1): 98-100.
33.	Biere SS, Van Berge Henegouwen MI, Maas KW, et al. Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial. Lancet (London, England), 2012, 379(9829): 1887-1892.
34.	张睿, 史敏科, 王小雨. 不同浓度罗哌卡因肋间神经阻滞在开胸手术后早期镇痛中的应用. 临床麻醉学杂志, 2015, 31(4): 323-327.
35.	何建冰, 段红兵, 康健乐. 改良肋间神经冷冻术在胸部术后镇痛中应用的随机对照研究. 中国胸心血管外科临床杂志, 2016, 23(1): 34-40.
36.	任光国, 周允中, 主编. 胸外科手术并发症的预防和治疗. 北京: 人民卫生出版, 2004. 158-160.
37.	马洪升, 程南生, 朱涛, 等. 华西医院日间手术快速康复(ERAS)规范. 中国胸心血管外科临床杂志, 2016, 23(2): 104-109.
38.	Holbek BL, Horsleben Petersen R, Kehlet H, et al. Fast-track video-assisted thoracoscopic surgery: future challenges. SCJ, 2016, 50(2): 78-82.

1. Foroulis CN, Kleontas A, Karatzopoulos A. Early reoperation performed for the management of complications in patients undergoing general thoracic surgical procedures. J Thorac Dis, 2014, 6(Suppl 1): S21-31.
2. Biere SS, Maas KW, Bonavina L, et al. Traditional invasive vs. minimally invasive esophagectomy: a multi-center, randomized trial (TIME-trial). BMC Surg, 2011, 11: 2.
3. Sosa CG, Althabe F, Belizan JM, et al. Risk factors for postpartum hemorrhage in vaginal deliveries in a Latin-American population. Obst Gynecol, 2009, 113(6): 1313-1319.
4. 陈铮立, 李建荣, 王树超, 等. 神经外科手术出血量的统计分析和输血策略. 中国输血杂志, 2014, 27(4): 400-402.
5. Lang DL, Zhao FL, Robertson J. Prevention of postpartum haemorrhage: cost consequences analysis of misoprostol in low-resource settings. BMC Pregnancy Childbirth, 2015, 23(15): 305.
6. 张高峰, 孙战文. 普胸外科术后二次开胸止血 19 例体会. 中国现代手术学杂志, 2014, 18(6): 457-459.
7. 茆勇, 应佑国. ICU 食管癌术后肺部并发症的临床调查研究. 现代肿瘤医学, 2015, 23(21): 3081-3083.
8. 谢琴, 莫占端, 华润, 等. 老年食管癌患者术后肺部感染影响因素与预防干预研究. 中华医院感染学杂志, 2016, 26(2): 346-348.
9. Schweigert M, Solymosl N, Dubecz A, et al. Emergency oesophagectomy for oesophageal perforation after chemoradiotherapy for oesophageal cancer. Ann Roy Coll Surg Eng, 2015, 97(2): 140-145.
10. Kuwano H, Nishimura Y, Oyama T, et al. Guidelines for diagnosis and treatment of carcinoma of the esophagus april 2012 edited by the Japan Esophageal Society. Esophagus, 2012, 379(9829): 1887-1892.
11. 丁凯, 周晓燕, 唐春立, 等. 15 例普通胸外科术后患者胸腔内出血部位、原因及处理. 山东医药, 2013, 53(27): 58-59.
12. 苏志勇, 张镱镭, 姜天烁, 等. 电视胸腔镜手术中控制出血的技术方法. 中国胸心血管外科临床杂志, 2013, 20(2): 244-246.
13. Singla S, Sachdeva R, Uertsky BF. The risk of adverse cardiac and bleeding events following noncardiac surgery relative to antiplatelet therapy in patients with prior percutaneous coronary intervention. J Am Coll Cardiol, 2012, 60(20): 2005-2020.
14. 李永博. 术中喷洒凝血酶对开胸手术术后引流的影响. 河北: 河北医科大学, 2014.
15. 仲照奎. 普胸外科术后血胸的手术处理探讨. 中国现代药物应用, 2016, 10(1): 92-93.
16. Plaksin SA, Petrov ME. Early rethoracotomies for diseases and chest traumas. Vestnik khirurgii imeni ⅡGrekova, 2012, 171(5): 20-22.
17. Parshin VD, BiriukovI IuV, Gudovskii AM, et al. Rethoracotomy in thoracic surgery. Khirurgiia, 2012, (5): 4-9.
18. Ermolov AS, Stonogin VD. Rethoracotomy because of hemorrhage in the early postoperative period after operations on the lungs and mediastinal organs. Vestnik khirurgii imeni ⅡGrekova, 1996, 155(3): 67-70.
19. Carson JL, Grossman BJ, Kleinman S, et al. Red blood cell transfusion: a clinical practice guideline from the AABB. Ann Inter Med, 2012, 157(1): 49-58.
20. 廖刃, 刘进. 华西围术期输血指征评分——以临床需求为目标的输血评分. 中国胸心血管外科临床杂志, 2014, 21(2): 145-146.
21. 魏新广, 管玉龙. 优化围术期血液管理. 中国胸心血管外科临床杂志, 2016, 23(4): 390-394.
22. Weltert L, Rondinelli B, Bello R, et al. A single dose of erythropoietin reduces perioperative transfusions in cardiac surgery: results of a prospective single-blind randomized controlled trial. Transfusion, 2015, 55(7): 1644-1654.
23. 马丹, 杨梅, 樊骏, 等. 胸腔镜肺叶切除术后引流管管径对患者舒适度影响的前瞻性队列研究. 中国胸心血管外科临床杂志, 2015, 22(10): 928-931.
24. 韩兆杰, 宋志芳, 苏建华, 等. 单胸腔引流管在肺癌术后快速康复中的应用. 中国胸心血管外科临床杂志, 2014, 21(1): 7-11.
25. 杨梅, 樊骏, 周红霞, 等. 胸腔镜肺癌肺叶切除术后 16F 较 28F 胸腔引流管应用的临床优势. 中国肺癌杂志, 2015, 18(8): 512-518.
26. 张德明, 赵金平. 两种胸腔引流方式在肺叶切除术后患者中应用的病例对照研究. 中国胸心血管外科临床杂志, 2016, 23(2): 156-159.
27. 何哲浩, 杨运海, 张翀. 达芬奇机器人胸部手术后优化胸腔引流策略的初步探索. 中国胸心血管外科临床杂志, 2015, 22(10): 919-922.
28. 魏宁, 蔺瑞江, 胡文腾, 等. 颈部与胸部吻合对食管癌术后并发症影响的系统评价与 Meta 分析. 中国胸心血管外科临床杂志, 2016, 23(1): 50-54.
29. Phillips B R. Reducing gastrointestinal anastomotic leak rates: review of challenges and solutions. Open Access Surg, 2016, 9(5): 5-14.
30. Hellan M, Spinoglio G, Pigazzi A. The influence of fluorescence imaging on the location of bowel transection during robotic left-sided colorectal surgery. Surg Endosc, 2014, 28(5): 1695-1702.
31. Protyniak B, Dinallo AM, Boyan WP Jr, et al. Intraoperative indocyanine green fluorescence angiography-an objective evaluation of anastomotic perfusion in colorectal surgery. Am Surg, 2015, 81(6): 580-584.
32. 文玉琴, 何丽, 李丽霞. 胸腹腔镜联合食管癌根治术患者感染预防与控制研究. 中华医院感染学杂志, 2016, 26(1): 98-100.
33. Biere SS, Van Berge Henegouwen MI, Maas KW, et al. Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial. Lancet (London, England), 2012, 379(9829): 1887-1892.
34. 张睿, 史敏科, 王小雨. 不同浓度罗哌卡因肋间神经阻滞在开胸手术后早期镇痛中的应用. 临床麻醉学杂志, 2015, 31(4): 323-327.
35. 何建冰, 段红兵, 康健乐. 改良肋间神经冷冻术在胸部术后镇痛中应用的随机对照研究. 中国胸心血管外科临床杂志, 2016, 23(1): 34-40.
36. 任光国, 周允中, 主编. 胸外科手术并发症的预防和治疗. 北京: 人民卫生出版, 2004. 158-160.
37. 马洪升, 程南生, 朱涛, 等. 华西医院日间手术快速康复(ERAS)规范. 中国胸心血管外科临床杂志, 2016, 23(2): 104-109.
38. Holbek BL, Horsleben Petersen R, Kehlet H, et al. Fast-track video-assisted thoracoscopic surgery: future challenges. SCJ, 2016, 50(2): 78-82.

Previous Article
Current situation of lymphatic chemotherapy in esophageal cancer
Next Article
Research progress of splanchnicectomy for cancer pain

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Evaluation and management of thoracic cavity hemorrhage during general thoracic surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content