Gabbott D A, Dunkley A B, Roberts F L
Royal Devon and Exeter Hospital, Wonford.
Anaesthesia. 1992 Jul;47(7):587-8. doi: 10.1111/j.1365-2044.1992.tb02329.x.
A previously fit patient underwent laparoscopic cholecystectomy. During the procedure arterial oxygen saturation fell and clinical examination revealed signs of a right pneumothorax confirmed by chest X ray. Aspiration of the pleural cavity and analysis of the gas removed showed it to be composed entirely of carbon dioxide. Possible mechanisms of entry of carbon dioxide into the pleural space are discussed.
一位既往健康的患者接受了腹腔镜胆囊切除术。术中动脉血氧饱和度下降，临床检查发现有右侧气胸体征，胸部X线检查得以证实。对胸腔进行穿刺抽吸并分析抽出的气体，结果显示其完全由二氧化碳组成。文中讨论了二氧化碳进入胸腔的可能机制。
