What is a Thoracotomy?
Indications for thoracotomy: (1) active chest bleeding and decreased blood pressure. (2) Tensile pneumothorax and bronchus rupture; a large amount of gas continues to leak in the drainage bottle, and the lung is still not re-expanded. (3) The coughing blood does not stop. (4) Patients with damage to large blood vessels of the heart. (5) Rupture of diaphragm and esophagus. (6) Closed repair of large open chest wall injuries. (7) Early clearing of hemothorax, there is a large amount of hemothorax, but the drainage is not smooth, and there is a suspected blood clot in the chest. (8) Those with poor anti-shock effect should be treated with open chest.
Thoracotomy
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- Chinese name
- Thoracotomy
- Nature
- surgery
- Subject
- medicine
- deal with
- Active thoracic bleeding
- Indications for thoracotomy: (1) active chest bleeding and decreased blood pressure. (2) Tensile pneumothorax and bronchus rupture; a large amount of gas continues to leak in the drainage bottle, and the lung is still not re-expanded. (3) The coughing blood does not stop. (4) Patients with damage to large blood vessels of the heart. (5) Rupture of diaphragm and esophagus. (6) Closed repair of large open chest wall injuries. (7) Early clearing of hemothorax, there is a large amount of hemothorax, but the drainage is not smooth, and there is a suspected blood clot in the chest. (8) Those with poor anti-shock effect should be treated with open chest.
- Due to the characteristics of the surgical site, method, and underlying lesions, patients with thoracotomy often have pulmonary complications after surgery. Pulmonary thromboembolism (FFE) is concealed and often fatal. The main cause of death and disability in patients after surgery. The emboli of PTE mainly come from deep venous thrombosis (DVT) due to a variety of complex factors. The two are collectively referred to as venous thromboembolism (VTE). There are many risk factors for VTE in patients undergoing thoracotomy. The most common reasons are the existence of various thrombogenic factors, the application of postoperative hemostatic drugs and the development of interventional techniques. The incidence of DVT in major thoracotomy is 50% to 60%; death after cardiothoracic surgery.