The invention relates to the technical field of
medical treatment, in particular to a novel scheme for treating secondary spontaneous
pneumothorax in an
operation mode. The method comprises the following steps: step 1, operation preparation: all operations are carried out under
vein composite
anesthesia and double-lumen
trachea intubation, continuous end-expiratory
carbon dioxide monitoring and multiple
arterial blood gas analysis are carried out in the operations to adjust the
respiratory rate, and if the monitored
blood gas analysis PaCO2 is greater than 70mmHg or (and) PaO2 is less than 90% in the operations, double-
lung small
tidal volume ventilation is carried out; step 2, designing an
operative incision: the incision is positioned between the
fourth rib or the fifth rib of the anterior axillary-midline, the incision is about 3.0-3.5 cm, and a
thoracoscope light source and an operating instrument are placed through a
single hole; step 3, treating emphysema and pulmonary bullosa: firstly separating a
thoracic cavity adhesive tape, and when the emphysema and the pulmonary bullosa have no
lung collapse, using an energy instrument (electric hook incision) to cause
lung atrophy; not ligating all bulloids, and centrally ligating lung bulloids and emphysema tissues located at 1 / 3 of the periphery of the lung; step 4,
desquamation of the wall layer pleura: gradually separating the wall layer pleura from a chest wall
muscle layer gap along the inner side of the incision, and
desquamation by using a pair of joint
forceps and a pair of separating
forceps.