[胸外科手术解决左半膈大幅抬高问题]
[Thoracic surgery in solving enormous elevation of the left hemidiaphragm].
作者信息
Cvijanović Vlado, Stanić Vojkan, Ristanović Aleksandar, Gulić Bojan, Durković Savo, Stamenović Davor, Marić Nebojsa, Kovacević Snezana
机构信息
Vojnomedicinska akademija, Klinika za grudnu hirurgiju, Beograd.
出版信息
Vojnosanit Pregl. 2007 Apr;64(4):279-82. doi: 10.2298/vsp0704279c.
BACKGROUND
Acquired elevation of the diaphragm is mostly the result of phrenic nerve paralysis, some of thoracic and abdominal patological states, and also some of neuromuscular diseases. Surgical treatment is rarely performed and is indicated when lung compression produces disabilitating dyspnea, and includes plication of diaphragm. The goal of this case report has been to show completely documented diagnostic procedures and surgical treatment one of rare pathological condition.
CASE REPORT
A 62-year-old patient was admitted to our clinic because of surgical treatment of the enormous elevation of the left hemidiaphragm. After thoracotomy and plication of the bulging diaphragm, lung compression did not exist any more and mediastinum went back in the normal position.
CONCLUSION
Elevation of the diaphragm rarely demands surgical correction. When it is complicated with lung compression and disabilitating dyspnea, surgical treatment has extremely useful functional effect.
背景
后天性膈肌抬高大多是膈神经麻痹、一些胸腹部病理状态以及一些神经肌肉疾病的结果。手术治疗很少进行，仅在肺部受压导致致残性呼吸困难时才考虑，手术方式包括膈肌折叠术。本病例报告的目的是展示一种罕见病理状况的完整诊断过程及手术治疗情况。
病例报告
一名62岁患者因巨大左半膈肌抬高接受手术治疗而入住我院。开胸并对膨出的膈肌进行折叠术后，肺部不再受压，纵隔恢复到正常位置。
结论
膈肌抬高很少需要手术矫正。当合并肺部受压和致残性呼吸困难时，手术治疗具有非常有益的功能效果。
Zotero 插件