努斯手术期间的心肺骤停：病例报告与综述
Cardiopulmonary arrest during the Nuss procedure: case report and review.
作者信息
Nakahara Osamu, Ohshima Shigeki, Baba Hideo
机构信息
Department of Surgery Taragi Municipal Hospital Kuma County Kumamoto Japan.
Department of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto City Kumamoto Japan.
出版信息
Acute Med Surg. 2015 Feb 16;2(4):250-252. doi: 10.1002/ams2.110. eCollection 2015 Oct.
CASE
The Nuss procedure is an established and widely approved minimally invasive technique for the correction of pectus excavatum. However, patients undergoing the procedure are at increased risk of cardiac arrest. It has not been established whether cardiopulmonary resuscitation is possible in patients who have received the Nuss procedure. We present here the case of a 14-year-old boy with pectus excavatum who underwent minimally invasive pectus repair but later had a fatal cardiac event before pectus bar removal.
OUTCOME
Bystander cardiopulmonary resuscitation was carried out immediately but resuscitation failed.
CONCLUSION
In patients who have undergone the Nuss procedure for pectus excavatum, it is important to manage perioperative events such as arrhythmia, develop measures for managing emergency situations in patients' areas of residence, and carry out continuing research and development of medical supply materials that can be used to manufacture Nuss bars.
病例
努斯手术是一种成熟且广泛认可的用于矫正漏斗胸的微创技术。然而，接受该手术的患者心脏骤停风险增加。对于接受过努斯手术的患者是否能够进行心肺复苏尚未明确。我们在此呈现一名14岁漏斗胸男孩的病例，他接受了微创漏斗胸修复手术，但在取出胸骨板之前发生了致命的心脏事件。
结果
旁观者立即进行了心肺复苏，但复苏失败。
结论
对于接受过努斯手术矫正漏斗胸的患者，处理围手术期事件如心律失常、制定患者居住地区紧急情况的管理措施以及持续开展可用于制造努斯棒的医疗供应材料的研发工作非常重要。
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