Unit of Critical Care, Royal Brompton Hospital, London, UK.
Clin Lung Cancer. 2010 Nov 1;11(6):423-5. doi: 10.3816/CLC.2010.n.054.
A 59-year-old woman presented with increasing breathlessness several weeks after right pneumonectomy. Imaging confirmed features of postpneumonectomy syndrome with marked mediastinal shift, and compression of the left main bronchus and pulmonary vein. The mediastinum was repositioned by insertion of saline-filled prostheses into the pneumonectomy space with symptomatic and radiologic improvement. Clinicians caring for patients after pneumonectomy should be aware of this rare but treatable complication.
一位 59 岁女性在右全肺切除术后数周出现呼吸困难进行性加重。影像学检查证实为全肺切除术后综合征，表现为明显的纵隔移位、左主支气管和肺静脉受压。通过向全肺切除术后的残腔中置入充满生理盐水的假体来重新定位纵隔，患者的症状和影像学均得到改善。对全肺切除术后的患者进行治疗的临床医生应意识到这种罕见但可治疗的并发症。
