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1993年12月~1998年7月,该院经胸腔手术治疗自发性气胸112例,手术120次:其中单侧自发性106例,双侧6例。25例首次出现自发性气胸,87例有反复气胸发作史。83例自发性气胸单纯行肺大疱切除,29例行大疱切除和胸膜固定术。手术时间20~132min,平均53.4min。术后平均住院日9.8d。并发症:术后肺泡瘘带引流管≥7d共9例;1例自发性血气胸止血不彻底,第2天再次VATS手术止血;呼衰1例,该组无切口和肺部感染。随访1~56个月,2例复发。同时讨论胸腔镜手术的操作技术和并发症防治。
December 1993 ~ July 1998, the hospital thoracic surgery 112 cases of spontaneous pneumothorax, surgery 120 times: one unilateral spontaneous 106 cases, bilateral in 6 cases. 25 cases of spontaneous pneumothorax for the first time, 87 cases of repeated episodes of pneumothorax. 83 cases of spontaneous pneumothorax simple bullous resection, 29 cases of bullous resection and pleurodesis. Surgery time 20 ~ 132min, an average of 53.4min. The average postoperative hospital stay 9.8d. Complications: There were 9 cases of postoperative alveolar fistula drainage tube ≥ 7d; 1 case of spontaneous hemothorax hemostasis is not complete, again on the second day VATS surgery; 1 case of respiratory failure, the group without incision and lung infection. Follow-up 1 ~ 56 months, 2 cases of recurrence. At the same time discuss the operation of thoracoscopic surgery and complications prevention and treatment.