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全麻复苏后甲状腺右侧切除及左侧颈淋巴结清扫术后出现气胸:病例报告

Pneumothorax in a post-anesthetic care unit after right thyroidectomy with left neck dissection -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Seoul Paik Hospital, Inje University Collge of Medicine, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2010 Dec;59(6):429-32. doi: 10.4097/kjae.2010.59.6.429. Epub 2010 Dec 31.

Abstract

A 46-year-old woman underwent a right thyroidectomy with left neck dissection under general anesthesia. The operation was performed successfully for over the course of 3 hours 30 minutes. After extubation, the patient was transferred to post-anesthetic care unit (PACU). After 10 minutes, dyspnea, chest discomfort, desaturation was suddenly occurred. Intubation was performed in PACU. The emergency chest X-ray revealed a right pneumothorax, and the patient was treated by chest tube insertion. The patient was improved and was discharged uneventfully from hospital 8 days later.

摘要

一位 46 岁女性在全身麻醉下接受了右侧甲状腺切除术和左侧颈部清扫术。手术历时 3 小时 30 分钟,非常成功。拔管后,患者被转至麻醉后恢复室(PACU)。10 分钟后,患者突然出现呼吸困难、胸闷、血氧饱和度下降。在 PACU 进行了插管。紧急胸部 X 光片显示右侧气胸,患者接受了胸腔引流管插入治疗。患者情况改善,8 天后顺利出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be9e/3022139/ef589863465f/kjae-59-429-g001.jpg

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