Tantraworasin Apichat, Saeteng Somcharoen
General Thoracic Surgery Unit, Department of Surgery, Faculty ofMedicine, Chiang Mai University Hospital, Chiang Mai, Thailand.
J Med Assoc Thai. 2013 Jul;96(7):866-9.
Case report of a 28-year-old man with beta thalassemia/hemoglobin E disease who developed a massive hemothorax due to bleeding from multiple large intrathoracic, paraspinal hematopoietic masses. Initially, a thoracotomy was required for the control of bleeding. Postoperatively, the patient received 2,000 ml of packed red cells but he continued bleeding after the blood chemistries and coagulopathy specimen were corrected. The decision was made to return to the operating room for a thoracotomy to control the bleeding. However, before re-operating, the patient underwent a collapse and failed resuscitation. This complication has never been previously reported in Thailand.
一名28岁患有β地中海贫血/血红蛋白E病的男性病例报告，该患者因多个巨大的胸内、椎旁造血肿块出血而发生大量血胸。最初，需要进行开胸手术来控制出血。术后，患者接受了2000毫升浓缩红细胞，但在血液化学指标和凝血功能异常标本得到纠正后仍继续出血。决定返回手术室进行开胸手术以控制出血。然而，在再次手术前，患者发生心脏骤停且复苏失败。这种并发症在泰国此前从未有过报道。
