Under general anesthesia，the patient was in left lateral position. The left right wall was washed with alcoholic-better-iodine solution and draped with aseptic sheet properly. An oblique incision over right chest wall was done. The bleeding points were neckdup with diathermy. Dissection was going to the muscle layers. The muscle layers were divided with diathermy. Then the intercostals muscle was divided and the pleura was opened. CCAM was found at right upper was treated with electro cautery and suture with 4-0 prolene. After resection，12 Fr chest tube was placed. After checking the bleeding points. The chest wall was closed layer by layer. The intercostals musle layer was closed with 3-0. Dexon interruptedly. The musle layer was closed with 3-0 vicry 1 continuously. A chest tube was introduced into left pleural cavity continuously. A chest tube was introduced into left pleural cavity. The skin was closed with 4-0 subcutaneous suture. The patient tolerate procedure very well and was send to NBC in stationary condition. They was about minimal blood loss.
- 1 0 年前最佳解答
在全身麻醉狀況下,病患以左側躺的姿勢臥床.左右(雙側)的(胸)壁以酒精性碘酒消毒,並且舖以無菌蓋布。左胸壁被橫切開.以電刀檢查出血點. 以電刀切開肌肉並將肌肉層撐開. 後續肋間肌也被切開, 肋膜也被打開. CCAM(CONGENITAL CYSTIC ADENOMATOID MALFORMATION的縮寫, 中文譯:先天性囊狀腺體樣異常)被發現於右上方,此CCAM被以電烙器處置並以4-O的Prolong縫線縫合. 切除後,放入12號胸管. 肋間肌肉以3-O DEXON 縫線間斷式縫合. 肌肉層以3-O VICRY 連續性縫合. 胸管被置入肋膜間. 皮膚以4-O 縫線皮下縫合. 病患在整個過程耐受情況佳, 並被安穩地送入NBC(新生兒加護病房?). 過程中僅僅少量血液流失
- 1 0 年前
傾斜切開權利胸口牆壁做了。 靈菌點是neckdup以電療機。 解剖去肌肉層數。肌肉層數劃分了以電療機。 然後肋間肌被劃分了，并且張開了肋膜。 CCAM被發現了在正確的鞋幫對待了與電鍍物品烙術和縫合與4-0 prolene。 在切除術以後， 12法郎胸口管被安置了。 在檢查靈菌點以後。胸口牆壁是閉合的層數由層數。 肋間musle層數結束了與3-0。 interruptedly Dexon。musle層數連續結束了與3-0 vicry 1。 胸口管連續被介紹了入左胸腔。 胸口管被介紹了入左胸腔。皮膚關閉了與4-0皮膚下縫合。 患者在固定式情況很好容忍做法并且是送到NBC。 他們是關於最小的失血。