ГЕМОТОРАКС. АЛГОРИТМ ЛЕЧЕБНОЙ ТАКТИКИ
DOI:
https://doi.org/10.52692/1857-0011.2025.3-83.40Ключевые слова:
гемоторакс, травма грудной клетки, дренирование, VATS, алгоритм леченияАннотация
Статья посвящена диагностике и лечению гемоторакса. Рассмотрены основные причины (травматический,
спонтанный, ятрогенный варианты), методы лечения и показания к хирургическому вмешательству. Подчёркивается
значение раннего дренирования плевральной полости, применения видеоассистированной торакоскопии (VATS)
у стабильных пациентов и торакотомии при нестабильности. Отмечена роль антибиотикопрофилактики и
внутриплевральной фибринолитической терапии в снижении осложнений. Своевременная диагностика и
индивидуализированный выбор тактики уменьшают смертность и улучшают исходы
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