Inoue H, Inoue H, Kanabuchi K, Ogawa J, Koide S, Kawada S, Shohtsu A
First Department of Surgery, Tokai University.
Kyobu Geka. 1990 Aug;43(9):724-7.
A 38-year-old man had a left lower lobectomy for pulmonary carcinoid. Following the operation, torsion of the left residual upper lobe occurred. Re-explosive thoracotomy was performed on the second postoperative day. The left upper lobe showed a clockwise 180-degree rotation. Pneumonectomy was not done. After the re-thoracotomy, the patient developed right hemiplegia. Head CT showed a cerebral infarction due to the thrombus of pulmonary vein that was released after the repair of the torsion.
一名38岁男性因肺类癌接受了左肺下叶切除术。术后,左肺残留上叶发生扭转。术后第二天进行了再次开胸手术。左肺上叶呈顺时针方向180度旋转。未进行肺切除术。再次开胸手术后,患者出现右侧偏瘫。头部CT显示因扭转修复后释放的肺静脉血栓导致脑梗死。