標題: | Efficiency Analysis of Direct Video-Assisted Thoracoscopic Surgery in Elderly Patients with Blunt Traumatic Hemothorax without an Initial Thoracostomy |
作者: | Huang, Wen-Yen Lu, I-Yin Yang, Chyan Chou, Yi-Pin Lin, Hsing-Lin 經營管理研究所 Institute of Business and Management |
公開日期: | 1-一月-2016 |
摘要: | Hemothorax is common in elderly patients following blunt chest trauma. Traditionally, tube thoracostomy is the first choice for managing this complication. The goal of this study was to determine the benefits of this approach in elderly patients with and without an initial tube thoracostomy. Seventy-eight patients aged >65 years with blunt chest trauma and stable vital signs were included. All of them had more than 300mL of hemothorax, indicating that a tube thoracostomy was necessary. The basic demographic data and clinical outcomes of patients with hemothorax who underwent direct video-assisted thoracoscopic surgery without a tube thoracostomy were compared with those who received an initial tube thoracostomy. Patients who did not receive a thoracostomy had lower posttrauma infection rates (28.6% versus 56.3%, P = 0.061) and a significantly shorter length of stay in the intensive care unit (3.13 versus 8.27, P = 0.029) and in the hospital (15.93 versus 23.17, P = 0.01) compared with those who received a thoracostomy. The clinical outcomes in the patients who received direct VATS were more favorable compared with those of the patients who did not receive direct VATS. |
URI: | http://dx.doi.org/10.1155/2016/3741426 http://hdl.handle.net/11536/133683 |
ISSN: | 2314-6133 |
DOI: | 10.1155/2016/3741426 |
期刊: | BIOMED RESEARCH INTERNATIONAL |
起始頁: | 0 |
結束頁: | 0 |
顯示於類別: | 期刊論文 |