[慢性扩张性血肿患者行右肺切除去皮质术的紧急前路手术]

[Emergency anterior approach for decortication with right pneumonectomy in a patient with chronic expanding hematoma].

作者信息

Eba S, Noda M, Hoshi F, Oishi H, Maeda S, Sado T, Sakurada A, Hoshikawa Y, Endo C, Okada Y, Kondo T

机构信息

Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.

出版信息

Kyobu Geka. 2011 Jul;64(7):552-5.

PMID:21766705

Abstract

The patient was a 68 year-old woman who had a history of treatment of pulmonary tuberculosis 35 years ago. She has experienced dyspnea and hemosputa since several years ago and has been followed up as having chronic empyema. She was admitted to our hospital due to recent exacerbation of symptoms. X-ray films and computed tomography scans of the chest showed the right thoracic cavity to be totally filled with a mass and the shift of mediastinum to the left side. After several days from admission, she needed mechanical ventilation support due to dyspnea exacerbation. Emergency decortication with right pneumonectomy through median sternotomy with anterolateral incision was performed. Postoperative course was uneventful. Pathlogical diagnosis was chronic expanding hematoma.

摘要

患者为一名68岁女性，35年前有肺结核治疗史。数年来她一直有呼吸困难和咯血症状，一直按慢性脓胸接受随访。因近期症状加重入住我院。胸部X线片和计算机断层扫描显示右胸腔完全被肿块填满，纵隔向左移位。入院几天后，由于呼吸困难加重，她需要机械通气支持。通过正中胸骨切开术加前外侧切口行急诊胸膜剥脱术并右肺切除术。术后病程平稳。病理诊断为慢性扩张性血肿。