Chandra Alka, Pathak Amrendra, Kapur Anu, Russia Neha, Bhasin Nikhil
Departments of Urology, and Anaesthesia and critical care, Hindurao Hospital, New Delhi, India.
Indian J Crit Care Med. 2014 May;18(5):320-2. doi: 10.4103/0972-5229.132501.
A case of massive right pleural effusion in a postoperative patient of percutaneous nephrolithotomy leading to severe respiratory distress is reported. A high degree of clinical suspicion and prompt intervention by insertion of an intercostal drainage tube prevented the patient from going in to respiratory failure. The development of arrhythmias confused the picture increasing the morbidity of the patient. However, the patient was managed in an intensive care unit with intercostal chest tube insertion and antiarrhythmic agents. After correction of the specific cause of the effusion the intercostal tube was removed on the 4(th) day without further recurrence of the effusion.
报告了一例经皮肾镜取石术后患者出现大量右侧胸腔积液并导致严重呼吸窘迫的病例。高度的临床怀疑以及通过插入肋间引流管进行的及时干预，使患者避免了呼吸衰竭。心律失常的出现使病情变得复杂，增加了患者的发病率。然而，患者在重症监护病房接受了肋间胸管插入和抗心律失常药物治疗。在纠正了胸腔积液的具体病因后，第4天拔除了肋间引流管，胸腔积液未再复发。
