Rakotoarison N-R-C, Bordes M, Batoz H, Pontailler J-R, Nouette-Gaulain K
Service d'anesthésie-réanimation III, hôpital des enfants, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
Ann Fr Anesth Reanim. 2011 Jan;30(1):73-6. doi: 10.1016/j.annfar.2010.11.001. Epub 2010 Dec 28.
We report the case of an unexpected respiratory complication after a surgical treatment of scoliosis during postoperative period in an adolescent patient. This complication results of a vascular compression of the left main bronchus between the aorta and the pulmonary artery, which induces severe atelectasis of left lower lobe. Prolonged non-invasive ventilation with high level of positive end-expiratory pressure prevents aorto-pulmonary compression, allows a pulmonary recruitment associated with a favorable prognostic for the adolescent.
我们报告了一例青少年患者脊柱侧弯手术后出现意外呼吸并发症的病例。该并发症是由于主动脉和肺动脉之间对左主支气管的血管压迫所致，进而导致左肺下叶严重肺不张。采用高水平呼气末正压进行长时间无创通气可防止主肺动脉压迫，实现肺复张，对该青少年患者预后良好。
