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经胸腔管插入导致左心室穿孔的手术处理。

Surgical Management of Iatrogenic Left Ventricle Perforation by Chest Tube Insertion.

机构信息

Department of Cardiothoracic Surgery, University Hospital, Otto-von-Guericke-University, Magdeburg, Germany.

Department of Cardiothoracic Surgery, University Hospital, Otto-von-Guericke-University, Magdeburg, Germany.

出版信息

Ann Thorac Surg. 2019 Dec;108(6):e405-e407. doi: 10.1016/j.athoracsur.2019.06.104. Epub 2019 Aug 27.

DOI:10.1016/j.athoracsur.2019.06.104
PMID:31470008
Abstract

Chest tube thoracostomy is a standard procedure in every intensive care unit. Although it is regarded as a safe procedure in experienced hands, rare complications do occur. This report describes iatrogenic perforation of the left ventricle after placement of an intercostal catheter and the successful surgical management of this injury. Various operative situations that may arise in relation to iatrogenic perforation of the left ventricle are also discussed, as well as steps to manage this potentially life-threatening complication.

摘要

胸腔管引流术是每个重症监护病房的标准程序。虽然在有经验的手中，它被认为是一种安全的程序，但确实也会发生罕见的并发症。本报告描述了在放置肋间导管后发生的左心室医源性穿孔，并成功地对此损伤进行了手术治疗。还讨论了与左心室医源性穿孔相关的各种手术情况，以及处理这种潜在危及生命的并发症的步骤。

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