| 韩敬泉 董庆 申宝忠 徐万海 崔键 李雅杰.胸腔镜下肺叶切除术后早期拔出胸管的管理策略及可行性[J].现代生物医学进展英文版,2016,16(2):332-334. |
| 胸腔镜下肺叶切除术后早期拔出胸管的管理策略及可行性 |
| Strategy and Its Feasibility of Early Removal of the Chest Tube after Complete Video-assisted Thoracoscopic Lobectomies |
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| DOI： |
| 中文关键词: 胸腔镜肺叶切除 胸管 引流量 |
| 英文关键词: Video-assisted thoracoscopic pulmonary lobectomy Chest tubes Drainage volume |
| 基金项目:国家高技术研究发展计划(863 计划)（
2012AA02A616）；国家高技术研究发展计划(863 计划)（
2012AA02A601）；
黑龙江省应用技术研究与开发计划项目（GA14C101） |
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| 中文摘要: |
| 目的：探讨胸腔镜下肺叶切除术后高引流量时早期拔出胸管的管理策略及可行性。方法：回顾性分析2011 年1 月至2014 年
1 月所有接受完全胸腔镜辅助肺叶切除患者的临床资料，所有的患者术后均留置一根胸管，以“无漏气并且引流量≤ 300 mL/24
h”为标准拔出胸管，分析患者胸管的拔出情况及并发症的发生情况。结果：本组共包括221 例单肺叶切除和9 例双肺叶切除，
91.3 %的患者完成了硬膜外麻醉，胸管中位引流时间为1 天。62.6 %的患者在术后24 小时内胸管被拔出，86 %的患者在48 小时
内拔出胸管。12 例患者(5.2 %)出现持续漏气，4 例患者(1.7 %)拔管后出现气胸。结论：全胸腔镜下肺叶切除术后以“无漏气并且引
流量≤ 300 mL/24 h”为标准拔出胸管，62.6%的患者在24 小时内拔管安全，86 %的患者在术后48小时内拔管安全。 |
| 英文摘要: |
| Objective:To investigate the strategy and its feasibility for early removal of the chest tube after complete
video-assisted thoracoscopic lobectomies.Methods:A retrospective study was performed on the data collected from the patients treated
by complete video-assisted thoracoscopic (c-VATS) lobectomies from January 2011 to January 2014. All patients had one chest-tube
postoperation. The chest tube was removed if there was no air leakage and the drainage volume was ≤ 300 mL/24 h. We aimed to
remove the chest tube on postoperative day 1.Results:This series consisted of 221 lobectomies and 9 bilobectomies. The median
duration of chest-tube placement was 1.0 day. The drain of 62.6% patients was removed within 24 h after operation and 86%was within
48 h. Persistent air leakage was seen in 12 (5.2%) patients. Four (1.7%) pneumothorax after removal of the drain was diagnosed.Conclusion:With the standard“no air leakage and drainage volume ≤ 300 mL/24 h”, it was safe for 62.6%patients to remove the chest
tube within 24 h and 86%patients to remove the chest tube within 48 h. |
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