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胸腔闭式引流管置入继发肝损伤：保守治疗病例报告及文献复习

Liver injury secondary to chest tube placement: a case report of conservative management and review of literature.

作者信息

Serji Badr, Mirali Houda, Chablou Mohammed, Kamaoui Imane, El Harroudi Tijani

机构信息

Surgical Oncologic Department Faculty of Medicine and Pharmacy Mohammed Ist University Oujda Morocco.

Department of Radiology Mohammed VIth Hospital Faculty of Medicine and Pharmacy Mohammed Ist University Oujda Morocco.

出版信息

Clin Case Rep. 2017 Nov 22;6(1):45-48. doi: 10.1002/ccr3.1280. eCollection 2018 Jan.

DOI:10.1002/ccr3.1280
PMID:29375835
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5771876/
Abstract

Chest tube placement is a routine procedure performed in different medical departments. Liver injury is a very rare complication that can occur but can be life-threatening. Conservative management can be proposed in stable patient. Following guidelines and training physicians should decrease the incidence of such complications.

摘要

胸腔置管是在不同医学科室进行的常规操作。肝损伤是一种非常罕见但可能发生且会危及生命的并发症。对于病情稳定的患者可建议采取保守治疗。遵循指南并对医生进行培训应能降低此类并发症的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ccc/5771876/1d4afa36bb3d/CCR3-6-45-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ccc/5771876/26bad5b1bc44/CCR3-6-45-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ccc/5771876/4bbacb30127e/CCR3-6-45-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ccc/5771876/1d4afa36bb3d/CCR3-6-45-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ccc/5771876/26bad5b1bc44/CCR3-6-45-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ccc/5771876/4bbacb30127e/CCR3-6-45-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ccc/5771876/1d4afa36bb3d/CCR3-6-45-g003.jpg

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本文引用的文献

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Lessons from a large trauma center: impact of blunt chest trauma in polytrauma patients-still a relevant problem?大型创伤中心的经验教训：钝性胸部创伤对多发伤患者的影响——仍然是一个相关问题？
Scand J Trauma Resusc Emerg Med. 2017 Apr 20;25(1):42. doi: 10.1186/s13049-017-0384-y.
2
Complications of chest tubes: a focused clinical synopsis.胸管并发症：重点临床概述
Curr Opin Pulm Med. 2015 Jul;21(4):376-86. doi: 10.1097/MCP.0000000000000169.
3
A malpositioned chest tube within the liver.一根放置位置不当的胸腔引流管位于肝脏内。
Asian Cardiovasc Thorac Ann. 2016 Jul;24(6):612. doi: 10.1177/0218492315579556. Epub 2015 Mar 31.
4
Life threatening hemoperitoneum and liver injury as a result of chest tube thoracostomy.胸腔闭式引流术导致危及生命的腹腔积血和肝损伤。
Clin Med Insights Case Rep. 2015 Feb 26;8:15-7. doi: 10.4137/CCRep.S23139. eCollection 2015.
5
Chest drain in the liver.肝脏置胸管引流。
Liver Int. 2013 Jul;33(6):958. doi: 10.1111/liv.12116. Epub 2013 Feb 15.
6
"Chest tube" removal after liver transgression.肝脏穿刺后“胸腔引流管”拔除。
J Vasc Interv Radiol. 2012 Feb;23(2):275. doi: 10.1016/j.jvir.2011.10.010.
7
Survey of major complications of intercostal chest drain insertion in the UK.英国胸腔引流管插入术主要并发症的调查。
Postgrad Med J. 2010 Feb;86(1012):68-72. doi: 10.1136/pgmj.2009.087759.
8
Successful removal of malpositioned chest drain within the liver by embolization of the transhepatic track.通过经肝路径栓塞成功移除肝脏内位置不当的胸腔引流管。
Cardiovasc Intervent Radiol. 2009 Jul;32(4):825-7. doi: 10.1007/s00270-008-9461-y. Epub 2008 Oct 30.
9
Use of a single silastic chest drain following thoracotomy: initial evaluation.开胸术后使用单根硅橡胶胸腔引流管：初步评估
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Postgrad Med J. 2005 Jul;81(957):456-8. doi: 10.1136/pgmj.2004.024752.