食管旁疝修补术后的平卧呼吸困难-直立性低氧血症综合征
Platypnea-Orthodeoxia syndrome after repair of a paraesophageal hernia.
作者信息
Vallurupalli Sunil, Lodha Ankur, Kupfer Yizhak, Tessler Sidney
机构信息
Department of Medicine, Division of Pulmonary & Critical Care Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
出版信息
BMJ Case Rep. 2013 Jan 25;2013:bcr2012007444. doi: 10.1136/bcr-2012-007444.
Abstract
The Platypnea-Orthodeoxia syndrome is characterised by dyspnoea and deoxygenation accompanying a change from the recumbent to the upright position. An 81-year-old woman had an elective paraesophageal hernia repair. She developed dyspnoea and hypoxemia post-operatively that was worse when upright. An agitated saline echocardiogram revealed a right-to-left shunt through a patent foramen ovale that increased when the patient was upright. Over 3 weeks the patients' shunt, dyspnoea and hypoxemia improved and she was discharged home.
摘要
平卧呼吸-直立性低氧血症综合征的特征是在从卧位变为立位时出现呼吸困难和脱氧。一名81岁女性接受了择期食管旁疝修补术。术后她出现了呼吸困难和低氧血症，直立时症状加重。生理盐水激发超声心动图显示存在通过卵圆孔未闭的右向左分流，患者直立时分流增加。3周内，患者的分流、呼吸困难和低氧血症有所改善，随后出院回家。
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