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张力性气颅:肺切除术后一种罕见的并发症。

Tension pneumocephalus: an unusual complication after lung resection.

作者信息

Reddy H V Rajashekara, Queen Scott, Prakash D, Jilaihawi Ali N A

机构信息

Hairmyres Hospital, Eaglesham Road, East Kilbride, Glasgow G75 8RG, UK.

出版信息

Eur J Cardiothorac Surg. 2003 Jul;24(1):171-3. doi: 10.1016/s1010-7940(03)00191-x.

DOI:10.1016/s1010-7940(03)00191-x
PMID:12853065
Abstract

On day 5, after right upper lobectomy, the patient developed headache, confusion and right hemiparesis and there was clear fluid drainage from the chest tube. Computed tomography (CT) scan of the head showed gas in the ventricles and subarachnoid space. The fluid from the drain was positive for Beta-2 transferrin signifying cerebrospinal fluid (CSF) fistula. Patient recovered completely with conservative management.

摘要

术后第5天,患者在接受右上肺叶切除术后出现头痛、意识模糊和右侧偏瘫,胸腔引流管有清亮液体引出。头部计算机断层扫描(CT)显示脑室和蛛网膜下腔有气体。引流液β-2转铁蛋白检测呈阳性,提示脑脊液(CSF)瘘。患者经保守治疗后完全康复。

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