Yu Yuetian, Zhu Cheng, Qian Xiaozhe, Gao Yuan, Zhang Zhongheng
1 Department of Critical Care Medicine, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200001, China ; 2 Department of Emergency, Rui Jin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200025, China ; 3 Department of Thoracic Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200001, China ; 4 Department of Critical Care Medicine, Jinhua Municipal Central Hospital, Jinhua Hospital of Zhejiang University, Jinhua 321000, China.
J Thorac Dis. 2016 Jan;8(1):E124-9. doi: 10.3978/j.issn.2072-1439.2016.01.23.
Congenital pulmonary agenesis is a rare condition with high mortality. Mechanical ventilation in these patients is challenging and there has no such case been reported in the literature. We reported a 61-year-old female with lung agenesis who presented to our hospital with pneumonia and pelvic mass. In the past, she had undergone repairing of atrial septal defect and mitral valve forming surgery at 6-year-old. Thereafter she had remained asymptomatic until this time of hospital admission. The patient underwent operation for the pelvic mass with one-lung ventilation (OLV) under general anesthesia. We highlighted the use of protective ventilation (PV) strategy during OLV.
先天性肺不发育是一种死亡率很高的罕见病症。对这些患者进行机械通气具有挑战性，且文献中尚无此类病例的报道。我们报告了一名61岁的肺不发育女性患者，她因肺炎和盆腔肿物前来我院就诊。过去，她6岁时接受了房间隔缺损修补术和二尖瓣成形手术。此后，她一直无症状，直至此次入院。该患者在全身麻醉下采用单肺通气（OLV）进行了盆腔肿物手术。我们强调了在OLV期间使用保护性通气（PV）策略。
