Barale F, Boilot A
Ann Anesthesiol Fr. 1977;18(7-8):619-28.
Pneumothorax during operation is always clinically serious. The symptoms are usually sudden cyanosis, accompanied by cardio-vascular collapse and difficulty or even impossibility to ventilate owing to increased pressures of insufflation. Immediate or secondary bilateral pneumothorax is relatively common, then may appear associated complications such as subcutaneous emphysema or pneumo-mediastinum. Early diagnosis is necessary to apply simple treatment and avoid a course which may be rapidly fatal. The authors report 3 cases of pneumothorax during anesthesia and consider the clinical forms, the mechanisms and causes of this accident.
手术期间发生的气胸在临床上始终是严重的。症状通常为突然发绀,伴有心血管虚脱,且由于充气压力增加导致通气困难甚至无法通气。即时性或继发性双侧气胸相对常见,随后可能出现皮下气肿或纵隔气肿等相关并发症。早期诊断对于采取简单治疗措施并避免可能迅速致命的病程至关重要。作者报告了3例麻醉期间发生气胸的病例,并探讨了该意外事件的临床类型、机制及原因。