Takanami Iwao
Department of Surgery, Teikyo School of Medicine, 2-11 Kaga 2-Chome, Itabashi-Ku, Tokyo 173, Japan.
Interact Cardiovasc Thorac Surg. 2005 Oct;4(5):473-4. doi: 10.1510/icvts.2005.113357. Epub 2005 Jul 13.
A 74-year-old woman was hospitalized in another institution because of a left-sided empyema and bronchopneumonia. A trocar-type chest tube was inserted. Upon withdrawal of the trocar, blood was seen flowing from the draining system and she developed hypotension. The patient was then transferred to our hospital and a diagnosis of pulmonary artery perforation was made. The patient was treated successfully with left pneumonectomy. Pulmonary artery perforation following chest tube placement is a rare and serious complication. When blood is seen following chest tube insertion a pulmonary artery perforation should be considered.
一名74岁女性因左侧脓胸和支气管肺炎入住另一家机构。插入了一根套管针式胸管。拔出套管针时，可见血液从引流系统流出，她出现了低血压。随后患者被转至我院，诊断为肺动脉穿孔。患者接受左肺切除术后成功治愈。胸管置入后发生肺动脉穿孔是一种罕见且严重的并发症。胸管插入后若见血液流出，应考虑肺动脉穿孔。
