肺切除术后的平卧呼吸困难-直立性低氧血症综合征经纵隔复位后缓解。

Platypnea-orthodeoxia syndrome after pneumonectomy relieved by mediastinal repositioning.

作者信息

Kotoulas Christophoros, Patris Konstantinos, Tsintiris Konstantinos, Zoumboulides Antonios, Lazarides Kiriakos, Laoutides Georgios

机构信息

Cardiothoracic Surgery Department, Manchester Royal Infirmary, Manchester, United Kingdom.

出版信息

Ann Thorac Surg. 2007 Apr;83(4):1524-6. doi: 10.1016/j.athoracsur.2006.11.004.

DOI:10.1016/j.athoracsur.2006.11.004

PMID:17383374

Abstract

Platypnea-orthodeoxia is a rare syndrome characterized by hypoxemia in the upright position after pneumonectomy and relieved by recumbency. This syndrome is often a post-pneumonectomy complication due to intracardiac shunt, usually at the atrial level. We report a case after right pneumonectomy without interatrial shunt. The patient was successfully treated with a silicone prosthesis implant in the post-pneumonectomy space. We believe that correction of this clinical situation has not been previously described.

摘要

平卧呼吸-直立性低氧血症是一种罕见综合征，其特征为肺切除术后直立位时出现低氧血症，卧位时缓解。该综合征常为肺切除术后因心内分流（通常为心房水平）所致的并发症。我们报告1例右肺切除术后无心房分流的病例。该患者通过在肺切除术后胸腔置入硅胶假体成功治愈。我们认为此前尚未描述过对这种临床情况的纠正。