Experience and literature review in emergency video-assisted thoracoscopic surgery for projectile injuries in the lung caused by stray bullet explosion
- Journal of Third Military Medical University Vol. 43, Issue 17, Pages: 1703-封3(2021)
- 作者机构：
- 作者简介：
- 基金信息：the Major Project of Military Logistic Scientific Research(AWS14C003);the Project of Scientific Research Plan of Qingdao Health Commission(2019-WJZD162)
DOI：10.16016/j.1000-5404.202103159
CLC：Received：23 March 2021，
Published：15 September 2021
- 稿件说明：
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Tongyi XU, Yun WANG, Shaowei FAN, et al. Experience and literature review in emergency video-assisted thoracoscopic surgery for projectile injuries in the lung caused by stray bullet explosion[J]. Journal of Third Military Medical University, 2021, 43(17): 1703-封3.
Tongyi XU, Yun WANG, Shaowei FAN, et al. Experience and literature review in emergency video-assisted thoracoscopic surgery for projectile injuries in the lung caused by stray bullet explosion[J]. Journal of Third Military Medical University, 2021, 43(17): 1703-封3. DOI： 10.16016/j.1000-5404.202103159.
摘要
目的
2
探讨胸腔镜微创手术在爆炸致肺破片伤紧急救治中的应用。
方法
2
2020年12月收治1例流弹爆炸致左下肺破片伤患者，经过肺三维重建和心脏超声检查及完善术前评估后，急诊行胸腔镜下右肺下叶楔形切除术+右侧血胸清除术+右侧胸壁伤口扩创术。
结果
2
患者手术顺利，抢救成功，2周后恢复出院，随访2个月无明显并发症，肺内伤道血肿和炎症明显吸收。
结论
2
胸腔镜微创手术能够应用于爆炸致肺破片伤紧急救治，为胸部战伤微创紧急救治提供支持。
Abstract
Objective
2
To investigate the application of video-assisted thoracoscopic (VATS) surgery in emergency treatment of projectile injuries in the lung caused by explosion.
Methods
2
A case of projectile injury shot in the left lower lung by a stray bullet was admitted in our department in December 2020. After three-dimensional reconstruction of lung CT images
echocardioghaphy and other preoperative evaluations
emergency VATS wedge resection of the right inferior lobe
right hemothorax removal and right chest wall wound enlargement surgery were performed.
Results
2
The patient was successfully rescued and discharged from our hospital after surgery
and no significant complication was observed at 2 months after follow-up. The hematoma and inflammation along the projectile in the lung were obviously absorbed.
Conclusion
2
The VATS surgery can be used in the emergency treatment of projectile injuries in the lung caused by explosion
and provides support for the minimally invasive emergency treatment of war wounds of the chest.
关键词
Keywords
references
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