Sunderamoorthy D, Ahuja S, Grant A, Mian T
Emerg Med J. 2005 Sep;22(9):669-70. doi: 10.1136/emj.2003.013888.
A 28 year old fit and healthy Caucasian man had a Bankart's repair of the left shoulder under general anaesthetic for a recurrent dislocation of the shoulder. The operative procedure was uneventful. Following extubation he was tachycardic and saturation dropped in the recovery room. The chest radiograph revealed shadowing in the right lung and he was diagnosed to have right middle lobe collapse. Subsequently the radiograph was reported as right upper lobe consolidation by the radiologist. We wish to report this unusual complication and the difficulty in diagnosis of such a complication occurring following an uneventful anaesthetic.
一名28岁身体健康的白种男性因复发性肩关节脱位在全身麻醉下接受了左肩关节Bankart修复术。手术过程顺利。拔管后,他在恢复室出现心动过速,血氧饱和度下降。胸部X光片显示右肺有阴影,他被诊断为右中叶肺不张。随后,放射科医生报告X光片显示右上叶实变。我们希望报告这一罕见的并发症以及在麻醉过程顺利后发生此类并发症时的诊断困难。