开胸手术

目的探讨开胸手术对肺表面活性物质（PS）的影响。

Objective To investigate the effects of thoracotomy on pulmonary surfactant ( PS ) .

l术后疼痛轻、恢复快，3年生存率87.8%和传统开胸手术组无差异。

The pain after operation was mild and postoperative recovery was shortened , compared to traditional thoracotomy . 3-year survival rate was 87.8 % .

结论TEA可缓解开胸手术应激反应，减轻术后糖代谢紊乱。

Conclusion TEA may alleviate the stress response to thoracic surgery and the disturbance of glucose metabolism .

在整体状态下观察P物质对家兔心脏功能的影响。手术均在全麻下进行，胸内操作的治疗要求及结果与常规开胸手术一致。

Experiments were performed on anesthetized open - chest rabbits . The intrathoracic manipulation and the results were equivalent to the open chest surgery .

全麻复合硬膜外对开胸手术病人IL-6、IL-10的影响及意义

Study the Effect of General Anaesthesia Combined Epidural Anesthesia on the Inflammatory Factor of IL-6 / IL-10 during Thoracic Surgery

VATS手术胸部以外的并发症与常规开胸手术相近；

Complications of VATS were similar to that of conventional open chest surgery .

方法：120例择期行开胸手术，术中需要单肺通气的胸部肿瘤患者，ASA分级I￣II级。

Methods : One hundred and twenty ASA I ~ II patients who underwent thoracic operation and required one lung ventilation ( OLV ) were studied .

目的研究开胸手术致术侧肺损伤引起肺泡表面活性物质（PS）下降，及盐酸氨溴索（ambroxol）对此的保护作用。

Purpose To investigate whether thoracotomy can induce lung injury in the operative side and the protection by ambroxol in this procedure .

方法：选择15例ASA～择期需单肺通气开胸手术的食道癌患者，以快诱导全凭静脉普鲁卡因合并异丙酚麻醉，双腔支气管导管插管。

Methods : After anesthesia induction , fifteen patients of esophageal cancer ASA grade ⅰ~ⅱ was intubated with left sided double lumen endobroncheal tube .

目的探索在经济欠发达地区最大限度降低手术费用（接近常规开胸手术费用）开展电视胸腔镜手术（videoassistedthoracoscopicsurgery，VATS）技术的可行性，以及具体手术方法。

Objective To investigate the feasibility and operation procedure of video-assisted thoracoscopic surgery ( VATS ) in underdevelopment area with the lowest costs ( as costs of conventional thoracic surgery ) .

VATS肺叶切除是一种完全的肺部肿瘤切除手术，在有选择的早期病例可以达到与开胸手术一样的生存率。

VATS lobectomy is complete cancer operation that offers patients at least the same survival as a lobectomy via a thoracotomy .

结论U区开胸手术易引起心肺合并症，是老年性胃癌根治术后死亡率增高的主要原因。

Conclusion Open-thoracic surgery in patients with stomach cancer of U region is more likely to induce cardiopulmonary complications , as the main cause of the higher death rate of the patients after radical treatment .

方法：90例VATS手术只使用常规VATS及开胸手术器械，部分病例作一5~10cm长的小切口辅助。

Method : 90 cases VATS were adopted with normal instrument for thoracotomy only some of the cases were incision of 5 ~ 10cm including spontaneous pneumothorax .

所有患儿行DSCT检查前均行经胸超声心动图（TTE）检查，32例行开胸手术治疗，6例放弃手术。

All of the cases were performed with transthoracic echocardiography ( TTE ) before DSCT.32 of 38 cases underwent open heart surgery .

结论BIPAP脱机优于SIMV脱机，是开胸手术后呼吸机依赖患者的一种有效脱机模式。

Conclusion BIPAP ventilation is more effective for the patients in the weaning of ventilator-dependent patients after thoracic surgery compared to SIMV .

结论VATS在早期周围型肺癌的手术治疗中可获得与传统常规开胸手术同样的治疗效果，而且具有手术创伤小、恢复快、不良反应少等优点。

Conclusion VATS has the same curative effect as traditional open surgery in early-stage peripheral lung cancer with less surgical trauma , faster convalescence and less untoward reaction .

目的比较经静脉注射病人自控镇痛（PCIA）和经硬膜外病人自控镇痛（PCEA）在开胸手术患者的应用效果。

Objective To compare the usage effect of Patient Control Injection Ache ( PCIA ) and Patient Control Extradural Ache ( PCEA ) in open-chest operation patients .

目的观察双相气道正压通气（BIPAP）对开胸手术后呼吸机依赖患者的脱机效果。

Objective To evaluate the clinical value of bi-phasic positive airway pressure ( BIPAP ) in the weaning of ventilator-dependent ( VD ) patients after thoracic surgery .

结果34例顺利完成手术，1例术中因肿瘤严重外侵中转开胸手术治疗，2例因氧饱和度偏低，中转VATS下辅助小切口食管癌切除术。

One case was transferred to open-thorax operation because of the severe tumour outside invasion , and 2 cases were transferred to small incision operation with the help of VATS .

目的：分析开胸手术中应用双腔插管在单肺通气（OLV）时，低氧血症的发生原因及处理措施。

Objective : To analyse the causes and therapeutic measures of hypoxemia in thoracic surgery with one lung ventilation ( OLV ) .

探讨老年肿瘤患者开胸手术期间应激相关指标血浆皮质醇（P-C）与血管紧张素Ⅱ（AngⅡ）水平的变化。

To explore change of indicators related to stress such as plasma cortisol ( P-C ) and angiotensin ⅱ( Ang ⅱ) during thoracic operation in aged patients with tumor .

用反向Fick法研究开胸手术围术期氧供需是否平衡以及氧供氧耗关系的变化特点，开胸手术对机体血流动力学的影响。

The reverse Fick method was used to evaluate the characteristic of oxygen metabolism during thoracic surgical procedures , and examine the changes of oxygen supply and oxygen consumption balance during one-lung ventilation .

结论经导管采用Amplatzer膜部室缺堵闭器关闭儿童膜周室缺是非常安全、有效可行的非开胸手术方法。

Conclusion Transcatheter occlusion of perimembranous ventricular septal defect ( PVSD ) using asymmetric membranous VSD Amplatzer occluder device ( AAOD ) in children was a safe , efficient and feasible non-surgical method .

有一种手术叫经导管主动脉瓣置换术（transcatheteraorticvalvereplacement，简称TAVR），能让医生不做开胸手术就置换掉瓣膜。这样，被认为可能死于开胸手术的高危患者，就有换瓣膜的机会了。

Now that there is a procedure , transcatheter aortic valve replacement , or TAVR , that allows doctors to replace valves without doing open-heart surgery , high risk patients who would have been considered at too great a risk of dying from open-heart surgery have a chance to have a valve replacement .

单纯胸腔闭式引流加空肠造瘘8例。结果：开胸手术10例，死亡1例，平均住院25d。

Single chest tube drainage and jejunostomy in 8 . Results : Among 10 patients performed open chest operation , 1 died . the average hospitalization period was 25 days .

结论VATS治疗自发性气胸肺大疱、创伤性血气胸和某些胸部良性疾病较传统开胸手术具有更多优点，适时附加胸部小切口，积极防治并发症，可使VATS更安全。

Conclusions VATS offers more advantages over traditional thoracotomy for the treatment of spontaneous pneumothorax pulmonary bubble , traumatic hemopneumothorax and selected chest benign diseases . The combination with mini-thoracotomy under certain circumstance may contribute to assuring the safety of this procedure .

方法：对3例开胸手术（1例食管癌根治手术，1例贲门癌根治手术，1例右上肺叶切除术）后发生SIADH的临床资料进行回顾性分析。

Methods : The clinical data of three patients with SIADH after thoracotomy ( 1 radical operation of esophageal carcinoma , 1 radical operation of cardia carcinoma , 1 pulmonary lobectomy ) were analyzed retrospectively .

结论VATS辅助经腹食管癌切除术经左胸入路，手术操作比较简单，胸腔操作省时，并发症少，适合T3N1M0期以下的食管癌，并能达到与常规开胸手术相同的切除效果。

Conclusion Oesophagus cancer resection via abdomen with the help of VATS was easy to be operated and with fewer complications . The technique fits for the oesophagus cancer below T 3N 1M 0 , and could achieve the same result as open-thorax operation .

严重脊柱侧凸前路开胸手术的并发症

Complications of the treatment of severe scoliosis through anterior intrathoracic approach

高龄患者开胸手术两种不同麻醉与镇痛方法的效果比较

Two anesthetic and analgesia methods in elderly patients undergoing thoracic surgery