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患者曾行对侧肺切除术,现拟行单肺移植术的麻醉处理-1 例报告-。

Anesthetic experience in patient for single lung transplantation with previous contralateral pneumonectomy -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Eulji University Hospital, Daejeon, Korea.

出版信息

Korean J Anesthesiol. 2012 May;62(5):479-83. doi: 10.4097/kjae.2012.62.5.479. Epub 2012 May 24.

Abstract

A 48-year-old woman with cystic fibrosis and a previous left pneumonectomy had surgery planned for single lung transplantation under general anesthesia. Due to progressive dyspnea and recurrent respiratory infection, she could not maintain her normal daily life without lung transplantation. The anesthetic management and surgical procedure was expected to be difficult because of the left mediastinal shift and an asymmetric thorax after the left pneumonectomy, but the single lung transplantation was successfully done under cardiopulmonary bypass.

摘要

一位 48 岁的女性患有囊性纤维化,曾行左侧肺切除术,计划在全身麻醉下进行单肺移植手术。由于进行性呼吸困难和反复呼吸道感染,她在没有肺移植的情况下无法维持正常的日常生活。由于左侧纵隔移位和左侧肺切除术后胸廓不对称,预计麻醉管理和手术过程会很困难,但在体外循环下成功进行了单肺移植。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e28f/3366317/ef10fe4ad0eb/kjae-62-479-g001.jpg

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