脑室腹腔分流患者行腹腔镜胆囊切除术时的通气功能障碍
Ventilatory impairment during laparoscopic cholecystectomy in a patient with a ventriculoperitoneal shunt.
作者信息
Schwed D A, Edoga J K, McDonnell T E
机构信息
Department of Surgery, Morristown Memorial Hospital, NJ.
出版信息
J Laparoendosc Surg. 1992 Feb;2(1):57-9. doi: 10.1089/lps.1992.2.57.
PMID:1576369
Abstract
A patient with a recently placed ventriculoperitoneal shunt suffered ventilatory impairment due to decreased thoracic compliance related to massive subcutaneous emphysema during laparoscopic cholecystectomy. The patient recovered uneventfully; however, recently established closed communication between the peritoneal cavity and the subcutaneous space may be a relative contraindication to laparoscopic surgery.
摘要
一名近期置入脑室腹腔分流管的患者，在腹腔镜胆囊切除术期间，因大量皮下气肿导致胸廓顺应性降低而出现通气功能障碍。患者顺利康复；然而，近期在腹腔与皮下间隙之间形成的闭合性交通可能是腹腔镜手术的相对禁忌证。
Zotero 插件