胸外科

结果：胃肠外营养（TPN）治疗患者122例，TNA液335组处方，共985袋，主要集中于胸外科、心外科和重症监护室。

RESULTS : 122 cases of patients were treated with total parenteral nutrition ( TPN ), involving 335 prescription sheets for TNA solution in totally 985 bags , and main treatment settings of chest surgery , cardiac surgery and ICU .

整体医疗护理；临床路径；胸外科；

Holistic nursing Clincal path Department of chest surgery ;

方法496例无选择胸外科手术病理证实胸部疾病，分别统计胸片与胸部CT术前诊断正确率和误诊率。

Methods The accuracy and misdiagnosis rate of preoperative plain film and CT of 496 consecutive histologically proved chest diseases were analyzed .

术后镇痛在普通胸外科ICU应用的临床研究

Clinical research on the postoperative analgesia in intensive care unit of the general thoracic surgery department

目的：探讨电视胸腔镜辅助手术（video-assistedthoracoscopicsurgery，VATS）在普胸外科的应用。

Objective To explore the clinical application of video-assisted thoracoscopic surgery ( VATS ) .

目的总结电视胸腔镜手术（VATS）在胸外科疾病治疗中的临床应用经验。

Objective To summarize the experience of VATS clinic application .

非心脏胸外科手术对于血清CTnI的影响

Effect of non-heart thoracic surgery on serum CTNI

方法42例胸外科急诊使用VATS行胸腔内探查与治疗。

Methods VATS was used as means of exploration and treatment in42 patients with thoracic emergency .

选取收住在白求恩国际和平医院ICU的患者与胸外科、外伤急诊手术患者作为实验组和对照组，进行成组不匹配病例对照研究。

A case-control study be used on unusual behavior operation patients of thoracic surgery or emergency of ICU in Bethune International Peace Hospital .

目的：胸外科手术麻醉时常用双腔支气管导管（DLT）行肺隔离。

Objective : Thoracic surgery commonly used double-lumen endobronchial tube ( DLT ) .

目的为探讨电视胸腔镜手术（VATS）在胸外科临床应用的价值，该文总结两家医院自1998年9月￣2002年10月成功实施的各式VATS共173例。

To discuss the clinical application of video-assisted thoracoscopic surgery ( VATS ), 173 cases VATS were reported .

目的总结应用KTP／YAG双波长激光配合胸外科手术治疗肺癌的经验。

Objective To summarize the experience of chinical application of KTP / YAG dual wavelength laser systems in thoracic surgery of 45 cases patients with pulmonary carcinoma .

目的研究电视胸腔镜手术（video-assistedthoracoscopicsurgery，VATS）在胸外科诊疗中的应用，重点研究VATS手术危险因素和并发症的防治。

[ Objective ] To study the application of video-assisted thoracoscopic surgery ( VATS ) in thoracic diseases focusing on analysis of rick factors , prevention and treatment of complications .

方法对2003年到河南省肿瘤医院胸外科治疗的63例肺腺癌患者进行为期3年的随访观察，用Product-LimitMethod方法进行生存分析。

Methods We elected 63 lung adenocarcinoma patients who were cured in breast surgery section of Henan Tumor Hospital in 2003 and had observed them for 3 years . And making survival analysis by Product-Limit Method .

目的介绍我院320例电视胸腔镜手术（VATS）及电视胸腔镜小切口手术（VAMT）在胸外科诊疗中的体会。

Objective To introduce the experience of video assisted thoracoscopic surgery ( VATS ) and video assisted minthoracotomy ( VAMT ) .

重点讨论胸外科术后应用呼吸器的适应症、呼吸器的管理及900C型呼吸器的特点。

Indication and management of Respiratory Ventilator and characteristics of Model 900C were discussed .

结论POSSUM评分能较好地预测胸外科高龄食管癌贲门癌患者术后并发症，根据评分结果加强术后监测和器官支持治疗，有助于减少并发症。

Intensive monitoring and organ supporting therapy after the operation according to the score is of great benefit to decrease the post-operative complications .

方法：选用胸外科手术和呼吸科纤支镜活检的肺癌组织标本36例及非恶性组织标本12例，通过免疫组织化学S-P法检测EGFR及TGF-α在肺癌组织和非恶性肺组织中的表达。

Methods The expression of EGFR and TGF-a in 36 lung cancers and 12 non-malignant pulmonary tissues obtained through thoracic operation and bronchoscopy were examined by S-P immunohistochemical technique .

KTP-YAG激光胸外科应用125例

Clinical application of KTP-YAG laser in thoracic surgery

结论VATS在胸外科有广阔的发展空间，一次性耗材价格昂贵限制其临床应用，腔镜下缝合技术或打结技术的应用比较适合目前的国情，节省医疗费用。

Conclusions Broad prospects exists in the clinical application of VATS , but the costs of the disposable is subject to reduce . The application of suture or knotting under thoracoscope may save medical costs .

耶鲁大学医学研究中心在胸外科年报上发表了一份关于520名胸主动脉瘤（TAA）患者的详细研究，研究显示该病有明显的遗传性。

A detailed study of520 patients with thoracic aortic aneurysm ( TAA ) and dissection indicates a very strong genetic link , Yale School of Medicine researchers report in the Annals of Thoracic Surgery .

目的：总结KTP-YAG双波长激光在临床胸外科手术中的应用。

Aim : Clinical application of KTP / YAG dual-wave length laser in thoracic surgery were reviewed .

目的探讨生理学和手术侵袭度评分（POSSUM）预测胸外科食管癌贲门癌高龄患者术后并发症发生率的价值。

Objective To test the clinical validity of physiological and operative severity score for the enumeration of mortality and morbidity ( POSSUM ) in aged patients undergoing resections of esophagus carcinoma and gastric cardiac carcinoma .

结论ECPB是抢救普胸外科危重病例的一种非常有效的治疗手段，在恶性肿瘤病人中仅在紧急情况下挽救病人生命时使用。

Conclusion ECPB is effective in rescuing severe patients who need urgent treatment in thoracic surgery , but ECPB is only used under emergency situation .

方法通过对167例胸外科高龄食管癌贲门癌患者进行POSSUM评分，预测术后并发症，并与实际值进行比较。

Methods POSSUM was used in 167 aged patients undergoing esophagus carcinoma and gastric cardiac carcinoma resection . The physiological score and the operative severity score were compared between the groups with and without postoperative complications . The morbidity rates were calculated .

胸腔镜在胸外科的临床应用始于1910年，由瑞典内科教授Jacobaeus首次应用于胸腔粘连烙断术，主要用于肺结核的治疗。

The clinical practice of thoracoscope on the thorax surgery dates from 1910 . Jacobaeus , a physician of Sweden , first performed thorax adhesiotomy to treat pulmonary tuberculosis mainly by thoracoscope .

对照组采用常规胸外科手术术前准备；试验组在常规术前准备的基础上，术前晚以洁达甘油灌肠剂110ml灌肠。

The routine preoperative preparations of thoracic surgery was performed in control group , however , 110 patients in trial group , based on the preparation of control group , were performed by enemas .

方法：在125例共10个病种的普通胸外科手术中，选用不同波长和功率的KTP-YAG激光，作用于不同组织的不同深度，起切割、止血、凝固或汽化的作用。

Methods : 125 patients ( 10 different chest diseases ) were operated on , different kinds and various laser power were used to incise , stanch , coagulate and vaporise different kinds of tissues .

本文报告用900C型呼吸器抢救胸外科术后Ⅱ型、Ⅰ型及潜在型呼衰各5例，成功13例、死亡2例。

This paper reports the treatment of 15 cases of respiratory failure after thoracic surgery by using Model 900C Respiratory Ventilator . There were 5 cases of type ⅰ, type ⅱ or impending type respiratory failure . 13 cases survived and 2 cases died .

总结得出：全电视胸腔镜下（CVATS）可以完成解剖性肺叶切除并系统性淋巴结清扫术，可以成为一种安全、可行且更加微创的手术方式，也是未来胸外科手术的发展方向。

In short , CVATS lobectomy can be done and dissected lymph node systematically , can be a safe , feasible , and more minimally invasive surgery , can be the future direction of development of thoracic surgery .