Weng Weili, DeCrosta Don J, Zhang Hai
Department of Anesthesiology, Winthrop University Hospital, Mineola, NY, USA.
J Clin Anesth. 2002 Nov;14(7):529-31. doi: 10.1016/s0952-8180(02)00405-1.
A 76-year-old woman underwent double-lumen endotracheal tube intubation for right upper lobectomy. During one-lung ventilation, she developed tension pneumothorax on her dependent lung and suffered cardiac arrest. The presenting signs of tension pneumothorax--hypoxemia, hypotension, and increased airway pressure--are relatively common during this procedure, leading to a delay in diagnosis and effective treatment. When all three signs occur together during one-lung ventilation, cardiovascular collapse can result and serious consideration must be given to the diagnosis of tension pneumothorax in the dependent lung.
一名76岁女性因右上叶肺切除术接受双腔气管插管。在单肺通气期间，她的下垂肺发生张力性气胸并心脏骤停。张力性气胸的典型体征——低氧血症、低血压和气道压力升高——在此手术过程中相对常见，导致诊断和有效治疗延迟。当在单肺通气期间这三种体征同时出现时，可能会导致心血管衰竭，必须认真考虑下垂肺发生张力性气胸的诊断。
