摘要
目的探讨在马里共和国医疗援助中开展胸腔镜手术的方法方法总结分析2016年在马里医院开展的14例胸腔镜手术，其中，纤维板剥脱术6例，肺叶切除2例，纤维板剥脱＋肺叶切除1例，胸导管结扎2例，双侧肺大泡缝扎l例，胸膜活检2例结果手术均完成，其中10例全胸腔镜下完成，4例中转开胸。2例术后A．1CU监护治疗，2d后转入普通病房；其余患者术后均返回普通病房术后5I流量（4754±3221）ml，引流时间（6．8±5．2）d住院时间（8．5±5．6）d．并发症有肺不张、肺部感染、脓胸复发、气胸等，经抗感染、引流；中洗等处理治愈；原发性乳糜胸1例带引流管出院。、全组无二次手术，无围手术期死亡病例。胸腔镜手术效果良好，但因开展的条件所限，有待完善．结论在马里开展胸腔镜手术是安全有效的，但需因地制宜，制定更完善的援助计划。
Objective To investigate the methods of video-assisted thoracoscupic surgery in medical assistance in P, epublic of Mali. Methods A total of 14 cases uf thoracoscopic surgery in Mali Hospital in 2016 were analyzed, including 6 cases of stripped pleural fibreboard, 2 cases of pulmonary lobectomy, 1 cases of stripped pleural fibreboard ＋ lobectomy, 2 cases of thoracic duct ligation, 1 cases of bilateral pulmonary butla suture, 2 cases ol pleural biopsy. Results All the operations were completed, 10 of them were perf^mned by VATS, and 4 of them were converted to thoracotomy. 2 cases were admitted to ICU and transferred to the general ward after 2d. The rest of the patients returned to the general ward after operation. The postoperative drainage volume was （ 475.4 ＋_ 322.1 ） ml and drainage time was （ 6.8-＋ 5.2 ） d. The hospital stay was （ 8.5 ＋_ 5.6 ） d. Complications included pulmonary atelectasis, pulmonary infection, empyema recurrence and pneumothorax, this patients were cured by anti-infection, lavage, drainage etc primary chyiothorax in 1 case discharged ,Nith drainage robe. There was no second operations aud no perioperalive death. Thoracoscopic surgery was effective, but it need to be improved due to the limited conditions. Conclusion Thoracoscopic surgery is safe and effective in Mali, but it needs to fonow local conditions and develop a better aid program.
出处
《浙江临床医学》
2018年第2期320-322,共3页
Zhejiang Clinical Medical Journal
