肝包虫囊肿巨大破裂并伴有机械通气
Massive rupture of a hepatic hydatid cyst associated with mechanical ventilation.
作者信息
Anthi Anastasia, Katsenos Chrisostomos, Georgopoulou Stavroula, Mandragos Konstantinos
机构信息
Intensive Care Unit, Hellenic Red Cross Hospital, Athens, Greece.
出版信息
Anesth Analg. 2004 Mar;98(3):796-7, table of contents. doi: 10.1213/01.ane.0000099722.80132.17.
UNLABELLED
An 80-yr-old woman with a complicated Echinococcus cyst of the liver underwent endotracheal intubation with a simple endotracheal tube and conventional mechanical ventilation that led to massive rupture of the cyst into the bronchi followed by fatal anaphylactic shock. We believe that the currently recommended use of a double-lumen endotracheal tube during surgery in the pulmonary hydatid cysts should be extended to hydatid cysts of the liver with thoracic involvement.
IMPLICATIONS
We present a case of massive rupture of hepatic Echinococcus cyst associated with mechanical ventilation. We believe that the use of a double-lumen endotracheal tube could be crucial in the management of the hydatid cysts of the liver with thoracic involvement.
未加标注
一名80岁患有复杂肝包虫囊肿的女性接受了单腔气管插管和传统机械通气，导致囊肿大量破裂进入支气管，随后发生致命性过敏性休克。我们认为，目前推荐在肺包虫囊肿手术期间使用双腔气管插管的做法，应扩大到累及胸腔的肝包虫囊肿手术中。
启示
我们报告了一例与机械通气相关的肝包虫囊肿大量破裂病例。我们认为，使用双腔气管插管对于处理累及胸腔的肝包虫囊肿可能至关重要。
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