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目的：探讨电视胸腔镜下手术治疗自发性气血胸的临床疗效。方法：选择内科治疗无改善或放置胸腔闭式引流后长期持续排气的20例自发性气血胸患者，全部采用双腔气管插管静脉复合麻醉，术中单侧通气的麻醉方法，行单侧肺大泡切除14例，非同期肺大泡切除4例，双侧同期肺大泡切除1例，右上肺叶切除1例。结果：手术平均时间78.96min，术中出血平均为59．09ml，术后平均2天拔除胸管。术后复查，所有患者气胸消失，肺复张良好。结论：本方法具有术中出血少，术后可早期拔除胸管，术后恢复快等优点，可取代传统的开胸手术治疗。
Objective: To investigate the clinical effect of video-assisted thoracoscopic surgery for patients with spontaneous pneumothorax. Methods: 20 cases of spontaneous pneumothorax were treated with double-lumen tracheal intubation, anesthesia with unilateral ventilation during operation, single-line operation 14 cases of lateral bullous follicles resection, 4 cases of non-synchronous bullae resection, bilateral bullae resection in 1 case, right upper lobe resection in 1 case. Results: The average operation time was 78.96min. The mean intraoperative bleeding was 59.09ml. The chest tube was removed after 2 days on average. Postoperative review, all patients disappeared pneumothorax, lung recovery good. Conclusion: This method has the advantages of less intraoperative bleeding, early removal of the chest tube after surgery, quick recovery and so on, which can replace the traditional thoracotomy.