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[伴有休克和呼吸窘迫的膈膨升需紧急折叠术;病例报告]

[Diaphragmatic eventration with shock and respiratory distress requiring emergency plication; report of a case].

作者信息

Okubo Tetsuyuki, Kawada Masaya, Suzuki Yoshinori, Kawarada Yo, Kitashiro Shuji, Okushiba Shun-ichi

机构信息

Department of Thoracic Surgery, Sapporo Medical Center Tonan Hospital, Sapporo, Japan.

出版信息

Kyobu Geka. 2013 Jul;66(7):598-601.

Abstract

A 80-year-old female with an eventration of the left diaphragm, which had been noticed with routine chest roentgenogram in 2006, presented with severe dyspnea and shock vital in 2012. The chest X-ray on admission disclosed elevation of the left hemidiaphragm, dislocation of the heart to the right. The diagnosis of eventration of the diaphragm was confirmed with a computed tomographic scan. She underwent diaphragmatic plication with endostaplers by thoracoscopic surgery. The postoperative course was uneventful except for transient reexpansion pulmonary edema. The patient was extubated on the 5th postoperative day. Dyspnea has disappeared after the operation. She was in a good condition without requiring any additional oxygen.

摘要

一名80岁女性,2006年胸部X线检查发现左膈膨出,2012年出现严重呼吸困难和休克。入院时胸部X线显示左半膈抬高,心脏向右移位。计算机断层扫描证实为膈膨出。她接受了胸腔镜下用内镜缝合器进行的膈肌折叠术。术后过程顺利,仅出现短暂的复张性肺水肿。患者术后第5天拔管。术后呼吸困难消失。她状况良好,无需额外吸氧。

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