University of North Carolina Hospitals, Chapel Hill, NC, USA.
Semin Cardiothorac Vasc Anesth. 2020 Sep;24(3):205-210. doi: 10.1177/1089253220919289. Epub 2020 May 11.
Postpneumonectomy syndrome is a rare complication in patients who have previously had a pneumonectomy. Over time, the mediastinum may rotate toward the vacant pleural space, which can cause extrinsic airway and esophageal compression. As such, these patients typically present with progressive dyspnea and dysphagia. There is a paucity of reports in the anesthesiology literature regarding the intraoperative anesthetic approach to such rare patients. We present a case of an 18-year-old female found to have postpneumonectomy syndrome requiring thoracotomy with insertion of tissue expanders. Our case report illustrates the complexities involved in the care of these patients with regards to airway management, ventilation concerns, and potential for hemodynamic compromise. This case report underscores the importance of extensive multidisciplinary planning.
肺切除术后综合征是既往行肺切除术患者的一种罕见并发症。随着时间的推移，纵隔可能向空的胸膜腔旋转，这可能导致气道和食管受压。因此，这些患者通常表现为进行性呼吸困难和吞咽困难。麻醉学文献中关于此类罕见患者的术中麻醉方法的报道很少。我们报告了一例 18 岁女性患者，发现患有肺切除术后综合征，需要行开胸手术并插入组织扩张器。我们的病例报告说明了在气道管理、通气问题以及潜在的血液动力学受损方面，对这些患者进行护理所涉及的复杂性。本病例报告强调了广泛的多学科规划的重要性。
