马凡综合征气胸的胸腔镜治疗：使用止血补片辅助肺切除术后恢复
Thoracoscopic Treatment of Pneumothorax in Marfan Syndrome: Hemostatic Patch to Support Lung Resection Recovery.
作者信息
Pelizzo Gloria, Arbustini Eloisa, Pasqua Noemi, Morbini Patrizia, Calcaterra Valeria
机构信息
Pediatric Surgery Unit, Children's Hospital "G. Di Cristina", ARNAS Civico-Di Cristina-Benfratelli, Palermo, Italy.
Centre for Inherited Cardiovascular Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
出版信息
Case Rep Surg. 2018 Sep 4;2018:7597215. doi: 10.1155/2018/7597215. eCollection 2018.
INTRODUCTION
In selected patients, the absorbable fibrin patch TachoSil® is superior to standard surgical treatment in reducing air leakage after pulmonary lobectomy. Pulmonary involvement is not considered a main feature of Marfan syndrome (MFS); however, spontaneous pneumothorax (SP) with a high rate of recurrence is frequently reported. We describe the use of TachoSil® in the supportive treatment of recurrent pneumothorax in a girl with MFS.
CASE REPORT
A 12-year-old girl with a previous diagnosis of MFS and recurrent history of left spontaneous pneumothorax was submitted to thoracoscopic atypical lung resection. Two patches (9.5 × 4.8 cm) were cut from the adhesive/foam complex (TachoSil®) and were pressed against the sutured area as supportive treatment. The patient recovered with no further SP recurrences.
CONCLUSIONS
The use of the TachoSil® surgical patch may be useful in pneumothorax supportive treatment, particularly in pediatric MFS by ameliorating the mechanical strength of the lung.
引言
在部分患者中，可吸收纤维蛋白贴片TachoSil®在减少肺叶切除术后漏气方面优于标准手术治疗。肺部受累并非马凡综合征（MFS）的主要特征；然而，自发性气胸（SP）复发率高的情况却经常被报道。我们描述了TachoSil®在一名患有MFS的女孩复发性气胸支持治疗中的应用。
病例报告
一名12岁女孩，既往诊断为MFS，有左侧自发性气胸复发史，接受了胸腔镜非典型肺切除术。从粘性/泡沫复合物（TachoSil®）上剪下两片（9.5×4.8厘米）贴片，按压在缝合区域作为支持治疗。患者康复，未再出现SP复发。
结论
TachoSil®手术贴片的使用可能有助于气胸的支持治疗，特别是在儿科MFS中，通过改善肺的机械强度发挥作用。
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