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[左下肺叶切除术后扭转及再次开胸术后脑梗死:一例报告]

[Torsion after left lower lobectomy and cerebral infarction following the re-exploratory thoracotomy: a case report].

作者信息

Inoue H, Inoue H, Kanabuchi K, Ogawa J, Koide S, Kawada S, Shohtsu A

机构信息

First Department of Surgery, Tokai University.

出版信息

Kyobu Geka. 1990 Aug;43(9):724-7.

PMID:2232392
Abstract

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.

摘要

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。

相似文献

1
[Torsion after left lower lobectomy and cerebral infarction following the re-exploratory thoracotomy: a case report].[左下肺叶切除术后扭转及再次开胸术后脑梗死:一例报告]
Kyobu Geka. 1990 Aug;43(9):724-7.
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Lobar torsion after pulmonary resection; report of two cases.肺切除术后肺叶扭转;两例报告
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[Diagnosis and treatment for postoperative lobar torsion].
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Uniportal thoracoscopic management of middle lobe torsion after upper lobectomy.单孔胸腔镜治疗上叶切除术后中叶扭转
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引用本文的文献

1
Fatal stroke after completion pneumonectomy for torsion of left upper lobe following left lower lobectomy.左下肺叶切除术后左上叶扭转行全肺切除术后发生致命性中风。
J Cardiothorac Surg. 2006 Sep 12;1:25. doi: 10.1186/1749-8090-1-25.
2
Massive cerebral infarction after completion pneumonectomy for pulmonary torsion.肺扭转行肺切除术后发生大面积脑梗死。
Thorax. 1994 Dec;49(12):1274-5. doi: 10.1136/thx.49.12.1274.