[巨结肠所致膈膨升的膈肌折叠术；1例报告]

[Plication of diaphragm for eventration of diaphragm caused by megacolon; report of a case].

作者信息

Nakano Jun, Okamura Norihito, Irie Masahiro, Noguchi Misa, Fujiwara Atsushi, Yamashina Akihiko, Matsuoka Tomoaki, Kameyama Kotaro

机构信息

Department of Thoracic Surgery, Kurashiki Central Hospital, Kurashiki, Japan.

出版信息

Kyobu Geka. 2013 Mar;66(3):255-8.

PMID:23445657

Abstract

A 70-year-old woman with severe respiratory distress was admitted to our hospital by ambulance. Chest X-ray revealed marked elevation of left diaphragm and invagination of megacolon. Colectomy was performed to improve the respiratory distress, but continuous mechanical ventilation was necessary after operation due to hypoxia and hypercapnea. Therefore, plication of diaphragm was additionally performed. With 10 rows of nonabsorbable sutures, 6 to 8 pleats were formed. The following day of operation, she was successfully relieved from the ventilator.

摘要

一名70岁患有严重呼吸窘迫的女性由救护车送至我院。胸部X光显示左膈明显抬高及巨结肠内陷。为改善呼吸窘迫进行了结肠切除术，但术后因缺氧和高碳酸血症仍需持续机械通气。因此，额外进行了膈折叠术。用10排不可吸收缝线形成了6至8个褶皱。手术次日，她成功脱离呼吸机。