【摘要】 目的 探讨电视胸腔镜手术诊断和治疗高原地区胸内各种疾病及其优越性。 方法 采用电视胸腔镜下手术，必要时胸腔镜辅助小切口对胸腔积液、脓胸、自发性气胸、肺包虫病、胸外伤等疾病在全身麻醉双腔气管插管单肺通气下进行手术。 结果 单纯胸腔镜下完成手术6例，占46%;胸腔镜辅助小切口完成手术5例，占38%;中转开胸手术2例，占15%。手术时间60～198min，平均123min。带引流管时间4～15天，平均8天。术后住院时间8～23天，平均15天。术后并发肺泡漏气伴患肺叶不张1例，无手术死亡及大出血等并发症发生。 结论 电视胸腔镜手术在高原缺氧地区的临床应用同样安全、有效并具有其优越性。

    关键词 高原 胸部疾病 电视胸腔镜手术

    Clinical application of video-assisted thoracic surgery in highland region

    Danzengouzhu，Pingcuo，Luobuwangdui，et al.

    Department NO.1of Surgery，Lhasa Peoples Hospital，Tibet850000.

    【Abstract】 Objective To explore the different highland inner chest diseases diagnosis and treatment by video-assisted thoracic surgery and its advantage aspects.Methods Video-assisted thoracic surgery，indispensable using supplementarily small-sized incision were performed pleural effusion，pyothorax，spontaneous pneumothorax，hydatid disease of lung，the diseases such as chest trauma and so on under twin cavity single lungs of trachea intubaing of gen-eral anesthesia.Results Blow the pure video-assisted thoracic surgery completed operation6cases(46%) ......