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全身麻醉下肩关节镜检查后发生的大面积肺气肿和气胸:一例报告

Massive Emphysema and Pneumothorax Following Shoulder Arthroscopy under General Anaesthesia: A Case Report.

作者信息

Shariyate Mohammad J, Kachooei Amir R, Ebrahimzadeh Mohammad H

机构信息

Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

Arch Bone Jt Surg. 2017 Nov;5(6):459-463.

Abstract

The patient was a 61-year-old female with massive rotator cuff tear who had no history of smoking, COPD, asthma, or other pulmonary diseases. Four hours following shoulder arthroscopy, the patient developed progressive dyspnea, which was diagnosed as pneumothorax with subcutaneous emphysema extending to the neck and face. Chest tube was inserted promptly. The patient was discharged with a good condition after 7 days. Follow up of the patient for the next 3 months was uneventful.

摘要

该患者为一名61岁女性,患有巨大肩袖撕裂,无吸烟、慢性阻塞性肺疾病、哮喘或其他肺部疾病史。肩关节镜检查后4小时,患者出现进行性呼吸困难,诊断为气胸,皮下气肿延伸至颈部和面部。立即插入胸腔引流管。7天后患者状况良好出院。对患者接下来3个月的随访无异常情况。

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