Chest trauma
Conditions
Interventions
VATS group:VATS exploration, hemostasis, repair and placement of thoracic closed drainage
Simple drainage group:Placement of thoracic closed drainage
Sponsors
Shapingba District People's Hospital of Chongqing
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients aged between 18 and 65 years (including 18 and 65 years); 2. Patients with traumatic hemothorax diagnosed by imaging; 3. Patients with hemopneumothorax bleeding volume of 500-1000ml (imaging estimation); 4. Patients with stable hemodynamics; 5. Patients whose vital signs (blood pressure, respiration, heart rate) are basically stable; 6. Patients who are able to follow the research program, participate in the study voluntarily and sign the informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with cardiovascular injury; 2. Patients with esophageal rupture due to diaphragm rupture with large bronchial rupture; 3. Patients with serious diseases of heart, brain, liver, kidney, blood and other systems; 4. Lactating women or pregnant women; 5. Patients who have poor compliance and are difficult to complete the treatment; 6. Patients with severe immune deficiency; 7. Patients who abuse drugs or drugs; 8. Patients who are participating in other clinical trials; 9. The researchers think that other reasons are not suitable for the subjects of clinical trials.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative exploration of blood volume (closed drainage is the extraction volume during catheterization);Hemothorax drainage;Drainage time of hemothorax;Postoperative pulmonary function;Secondary thoracotomy rate;The incidence of major complications (empyema, atelectasis, pulmonary infection, coagulative hemothorax, respiratory failure, ventilator use rate) recorded all other adverse events;death rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of stay;Hospitalization expenses;Degree and duration of pain;A survey of perioperative quality of life;Patient satisfaction;Postoperative follow-up: the follow-up time is 2 years, the first 6 months follow-up interval is 2 months, and after 6 months follow-up every half a year for 2 years; | — |
Countries
China
Contacts
Public ContactGou Yajun
Shapingba District People's Hospital of Chongqing
Outcome results
None listed