Onodera Ken, Noda Masafumi, Okada Yoshinori, Kondo Takashi
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):438-40. doi: 10.1093/icvts/ivt205. Epub 2013 May 12.
A 31-year old female patient in the ninth week of pregnancy complained of chest pain and dyspnoea. The patient had experienced an episode of spontaneous pneumothorax on the left side at the age of 20 and had undergone chest tube drainage. Her medical history was unremarkable and she had no history of smoking. She had no family history of pulmonary disease. Thoracic radiography showed a pneumothorax on the right side. The patient underwent chest tube drainage in the thoracic space. When surgical intervention for continuous air leakage was unavoidable, we selected video-assisted thoracic surgery under local and epidural anaesthesia in consideration of her general condition. We conclude that awake surgical intervention is applicable in selected patients with pneumothorax in pregnancy and is particularly useful in those in whom general anaesthesia is best avoided.
一名31岁处于妊娠9周的女性患者主诉胸痛和呼吸困难。该患者20岁时曾有过一次左侧自发性气胸发作，并接受过胸腔闭式引流。她的病史无异常，且无吸烟史。她没有肺部疾病家族史。胸部X线检查显示右侧气胸。患者接受了胸腔闭式引流。当不可避免地需要进行手术干预以处理持续漏气时，考虑到她的全身状况，我们选择了在局部和硬膜外麻醉下进行电视辅助胸腔手术。我们得出结论，清醒状态下的手术干预适用于部分妊娠气胸患者，尤其对于那些最好避免全身麻醉的患者非常有用。
