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经腋下小切口治疗自发性气胸180 例。经胸腔穿刺胸腔闭式引流无效而行手术治疗126 例。首次发病直接手术治疗38 例。双侧性病变8 例,其中3 例同时行双侧手术。肺大泡缝扎或结扎术132 例,胃肠吻合器缝合6 例,剖胸止血30 例。术中平均输血300ml。手术时间平均56min,术后胸腔引流液平均105ml。术后置管1~11d,平均2.1d 拔管,住院日8 .6d。术后出血1 例,复发1 例均经再次手术治疗。术后15~30d 恢复上学或工作,认为腋下小切口手术适用于所有自发性气胸患者。
180 cases of spontaneous pneumothorax were treated with small incision in the armpit. Closed thoracic drainage by thoracostomy was ineffective in 126 cases. The first incidence of direct surgery in 38 cases. Bilateral lesions in 8 cases, 3 cases of bilateral surgery at the same time. 132 cases of bullae suture or ligature, 6 cases of gastrointestinal stapler suture, 30 cases of thoracic hemostasis. Intraoperative blood transfusion 300ml. The average operation time was 56 minutes. The average drainage volume of the thoracic cavity after operation was 105 ml. Postoperative catheter 1 ~ 11d, an average of 2.1d extubation, hospitalization 8. 6d. One case had postoperative bleeding and one case had recurrence after operation. After 15 ~ 30d to return to school or work, that small incision surgery for all patients with spontaneous pneumothorax.