肩关节镜检查后胸壁肿胀和气胸：这两个事件完全独立吗？
Chest wall swelling and pneumothorax after shoulder arthroscopy: Were the 2 events totally independent?
作者信息
Kim Jong Bun, Choi Min Kyung, Jeon Yong Kyoung, Lee Jae Myeong
机构信息
Department of Anesthesiology and Pain Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Republic of Korea.
出版信息
Medicine (Baltimore). 2017 May;96(21):e7020. doi: 10.1097/MD.0000000000007020.
RATIONALE
Arthroscopic shoulder surgery (ASS) is a low mortality and morbidity procedure, but anesthetic complications are reported. There have been no reports of combined chest wall swelling and pneumothorax after ASS.
PATIENT CONCERNS
The patient's right lung was severely collapsed and the mediastinum was deviated after ASS.
DIAGNOSIS
Pneumothorax on right chest.
INTERVENTIONS
A chest tube was inserted and oxygen therapy was performed.
OUTCOMES
The patient was discharged uneventfully.
LESSONS
Elective ASS has low mortality and morbidity rates, but we should be more concerned over the complications after ASS.
理论依据
关节镜下肩部手术（ASS）是一种死亡率和发病率较低的手术，但仍有麻醉并发症的报道。ASS术后合并胸壁肿胀和气胸的情况尚无报道。
患者情况
该患者在ASS术后右肺严重萎陷，纵隔偏移。
诊断
右侧气胸。
干预措施
插入胸管并进行氧疗。
结果
患者顺利出院。
经验教训
择期ASS的死亡率和发病率较低，但我们应更关注ASS术后的并发症。
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