钝性胸部创伤肺切除术后的管理

Postoperative Management after Pneumonectomy for Blunt Thoracic Trauma.

作者信息

Klein Yoram, Kishinevsky Elena, Konichezky Sergio, Bregman Gennady, Klein Moti, Kashtan Hanoch

机构信息

Trauma Unit, Kaplan Medical Center, Rehovot, Israel.

Department of Surgery B, Kaplan Medical Center, Rehovot, Israel.

出版信息

Eur J Trauma Emerg Surg. 2007 Aug;33(4):422-4. doi: 10.1007/s00068-007-6033-9. Epub 2007 Apr 9.

DOI:10.1007/s00068-007-6033-9

PMID:26814737

Abstract

Pneumonectomy for blunt thoracic injury carries a high mortality rate. We present a case of severe bilateral blunt thoracic injury in which left pneumonectomy was done. The immediate postoperative measures were directed to maintain right heart performance by minimizing hypoxia, avoiding fluid overload and limiting pulmonary hypertension. We believe that this approach contributed to the favorable outcome of this patient.

摘要

钝性胸部损伤行肺切除术死亡率很高。我们报告一例严重双侧钝性胸部损伤患者行左肺切除术的病例。术后即刻采取的措施旨在通过尽量减少缺氧、避免液体超负荷和限制肺动脉高压来维持右心功能。我们认为这种方法促成了该患者的良好预后。