创伤后肺切除术后一氧化氮的应用

Nitric oxide usage after posttraumatic pneumonectomy.

作者信息

Nurozler F, Argenziano M, Ginsburg M E

机构信息

Department of Surgery, College of Physicians and Surgeons of Columbia University, New York, New York, USA.

出版信息

Ann Thorac Surg. 2001 Jan;71(1):364-6. doi: 10.1016/s0003-4975(00)02225-6.

DOI:10.1016/s0003-4975(00)02225-6

PMID:11216787

Abstract

Pneumonectomy is rarely required in the surgical management of thoracic traumatic injuries with high mortality rates. Right heart failure due to elevated pulmonary artery pressure and the adult respiratory distress syndrome have been leading causes of mortality reported after posttraumatic pneumonectomy. The beneficial effect of inhaled nitric oxide has been shown in pulmonary hypertension and in adult respiratory distress syndrome. We report the use of inhaled nitric oxide in the perioperative management of a patient undergoing emergent pneumonectomy.

摘要

在胸外伤的外科治疗中，肺切除术很少被采用，因为其死亡率很高。肺动脉压力升高导致的右心衰竭和成人呼吸窘迫综合征是创伤后肺切除术后报告的主要死亡原因。吸入一氧化氮已被证明在肺动脉高压和成人呼吸窘迫综合征中具有有益作用。我们报告了吸入一氧化氮在一名接受急诊肺切除术患者围手术期管理中的应用。