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全麻下功能性鼻窦内镜手术后纵隔气肿 1 例报告

Pneumomediastinum after functional endoscopic sinus surgery under general anesthesia -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, St. Mary's Medical Center, Busan, Korea.

出版信息

Korean J Anesthesiol. 2013 Apr;64(4):367-72. doi: 10.4097/kjae.2013.64.4.367. Epub 2013 Apr 22.

Abstract

The occurrences of pneumothorax and pneumomediastinum are rare, but considered to be potentially life-threatening conditions in patients undergoing functional endoscopic sinus surgery under general anesthesia. Tracheobronchial rupture may results in serious complications, such as pneumothorax and pneumomediastinum. It may occur accidentally by endotracheal tube when the patient's neck is flexed or extended. We report the case of a 48-year-old female patient who developed massive subcutaneous emphysema, pneumothorax, pneumomediastinum and pneumoperitoneum seven hours after functional endoscopic sinus surgery under general anesthesia.

摘要

气胸和纵隔气肿的发生较为罕见,但在全麻下接受功能性内窥镜鼻窦手术的患者中,被认为是潜在的危及生命的情况。气管支气管破裂可能导致严重并发症,如气胸和纵隔气肿。当患者的颈部弯曲或伸展时,气管插管可能会意外发生。我们报告了一例 48 岁女性患者的病例,该患者在全麻下接受功能性内窥镜鼻窦手术后 7 小时出现广泛皮下气肿、气胸、纵隔气肿和气腹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa0b/3640172/11a46d67fe0d/kjae-64-367-g001.jpg

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