A 27-year-old man is admitted to ICU after an emergency craniotomy(开颅), splenectomy（脾切）, and femoral fracture fixation（股骨骨折固定）. He also underwent left chest tube insertion for hemothorax（血胸）. On hospital day three, the chest radiograph, shown below, still shows no improvement of the left chest opacification（胸部阴影）.
Which of the following is the most effective management for this patient?
A. Video-assisted thorascopic surgery and evacuation of hemathorax
B. Insertion of a second chest tube
C. Intrapleural fibrinolysis with streptokinase（链激酶）
D. Increase the preexisting chest suction from -20 cm H2O to -40 cm H2O
E. Observation without changing the current treatment
投票结果：
在疑似保留血胸的患者中，如果存在持续的放射学异常，则需要进行CT检查。清除滞留血胸的首选方法是电视辅助胸腔镜手术(VATS)，而不是第二根胸管。VATS应在胸部创伤后的前5天尽早进行。
A
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