Butala Bina P, Shah Veena R, Bhosale Guruprasad P
Department of Anaesthesia and Critical Care, Smt. G. R. Doshi and Smt. K. M. Mehta Institute of Kidney Diseases and Research Centre & Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.
Indian J Anaesth. 2011 Jul;55(4):395-8. doi: 10.4103/0019-5049.84859.
Desaturation after induction of anaesthesia and repositioning due to mucus plug causing atelectasis (lung collapse) is a rare event. We present a case of intraoperative right lung collapse due to mucus plug in a patient undergoing left laparoscopic nephrectomy. Hypoxaemia occurred after the induction of anaesthesia and repositioning. X-ray chest revealed right lung collapse and surgery was subsequently postponed. Lung re-expanded after postural drainage and suction. Postoperatively patient was diagnosed to have retrocardiac bronchiectasis. After preoperative preparation with postural drainage, chest physiotherapy, and antibiotics, the patient underwent surgery uneventfully.
麻醉诱导及因黏液栓导致肺不张（肺萎陷）而重新摆放体位后出现的血氧饱和度下降是一种罕见事件。我们报告一例在接受左腹腔镜肾切除术的患者中因黏液栓导致术中右肺萎陷的病例。麻醉诱导及重新摆放体位后出现了低氧血症。胸部X线显示右肺萎陷，随后手术推迟。经体位引流和吸引后肺重新复张。术后患者被诊断为心后支气管扩张。经过体位引流、胸部物理治疗及抗生素的术前准备后，患者手术顺利。
