Baird Robert, Al-Balushi Zainab, Wackett Jeff, Bouchard Sarah
Montreal Children's Hospital, McGill University Health Center, Montreal, Quebec, Canada.
J Pediatr Surg. 2009 Oct;44(10):2012-4. doi: 10.1016/j.jpedsurg.2009.05.022.
Iatrogenic Horner syndrome is a rare complication of chest tube insertion, with little information available on this topic in the pediatric literature. We present a case of a 13-month-old boy with a left-sided pneumonia and an associated pleural effusion for which a chest tube was inserted. His respiratory and septic parameters improved, but he was noted to have ptosis, miosis, and anhydrosis of the left side. These resolved in the days after chest tube removal. Although tube thoracostomy is a common procedure in surgical practice, little is written about the potential for injury to the ipsilateral sympathetic chain. This report reviews the available literature, with an emphasis on complication avoidance.
医源性霍纳综合征是胸腔置管的一种罕见并发症，儿科文献中关于这一主题的信息很少。我们报告一例13个月大的男孩，他患有左侧肺炎并伴有胸腔积液，为此进行了胸腔置管。他的呼吸和感染指标有所改善，但发现他左侧有上睑下垂、瞳孔缩小和无汗。这些症状在胸腔管拔除后的几天内消失。尽管胸腔闭式引流术在外科实践中是一种常见的操作，但关于同侧交感神经链损伤可能性的报道很少。本报告回顾了现有文献，重点是避免并发症。
