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局部麻醉浸润导致的乳房缩小术后医源性气胸——病例报告

Iatrogenic pneumothorax after breast reduction surgery caused by local anesthesia infiltration - a case report.

作者信息

Ristola Marko T, Koskivuo Ilkka, Giordano Salvatore

机构信息

Department of Plastic Surgery, Turku University Hospital, Turku, Finland.

出版信息

Case Reports Plast Surg Hand Surg. 2022 Feb 23;9(1):72-74. doi: 10.1080/23320885.2022.2043753. eCollection 2022.

DOI:10.1080/23320885.2022.2043753
PMID:35224136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8881072/
Abstract

We present a case of a 44-year-old woman, who underwent bilateral breast reduction mammoplasty and suffered a unilateral pneumothorax that was detected postoperatively. Infiltration of a local anesthetic was considered the cause of the pneumothorax. We recommend a more tangential direction of needle placement when infiltrating a local anesthetic.

摘要

我们报告一例44岁女性患者，其接受了双侧乳房缩小整形术，术后发现单侧气胸。局部麻醉药浸润被认为是气胸的原因。我们建议在浸润局部麻醉药时采用更切线方向进针。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5c/8881072/79c27c9d7b1b/ICRP_A_2043753_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5c/8881072/139f18c1597f/ICRP_A_2043753_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5c/8881072/79c27c9d7b1b/ICRP_A_2043753_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5c/8881072/139f18c1597f/ICRP_A_2043753_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a5c/8881072/79c27c9d7b1b/ICRP_A_2043753_F0002_B.jpg

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Case Reports Plast Surg Hand Surg. 2022 Feb 23;9(1):72-74. doi: 10.1080/23320885.2022.2043753. eCollection 2022.
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本文引用的文献

1
Thoracic paravertebral blockade in breast surgery: Is pneumothorax an appreciable concern? A review of over 1000 cases.乳腺手术中的胸段椎旁阻滞：气胸是一个值得关注的问题吗？对1000多例病例的回顾
Breast J. 2018 Jan;24(1):23-27. doi: 10.1111/tbj.12831. Epub 2017 May 30.
2
Intradermal Infiltration of Local Anesthetic-Rapid and Bloodless Deepithelialization of the Breast Pedicle.局部麻醉药皮内浸润——乳腺蒂快速无血去上皮化
Plast Reconstr Surg Glob Open. 2017 Feb 21;5(2):e1225. doi: 10.1097/GOX.0000000000001225. eCollection 2017 Feb.
3
Bilateral pneumothoraces complicating reduction mammoplasty: a case report.
双侧气胸并发乳房缩小成形术：一例报告
BMC Surg. 2013 Jul 26;13:29. doi: 10.1186/1471-2482-13-29.
4
Bilateral pneumothoraces: a rarely described complication following augmentation mammaplasty.双侧气胸：隆乳术后一种鲜有描述的并发症。
Aesthet Surg J. 2005 Jan-Feb;25(1):49-52. doi: 10.1016/j.asj.2004.11.004.
5
Pericardial effusion and pneumothorax after breast augmentation.隆胸术后心包积液和气胸
J Emerg Med. 2011 Jul;41(1):79-81. doi: 10.1016/j.jemermed.2008.09.025. Epub 2009 Feb 13.
6
Pneumothorax as a complication of breast augmentation.气胸作为隆胸手术的一种并发症。
Plast Reconstr Surg. 2005 Sep 15;116(4):1122-6; discussion 1127-8. doi: 10.1097/01.prs.0000179182.58036.a7.
7
Breast reduction under intravenous sedation: a review of 50 cases.
Plast Reconstr Surg. 1996 Apr;97(5):952-6; discussion 957-8. doi: 10.1097/00006534-199604001-00010.
8
Local anesthesia infiltration as a cause of intraoperative tension pneumothorax in a young healthy woman undergoing breast augmentation with general anesthesia.
J Clin Anesth. 1995 Aug;7(5):422-4. doi: 10.1016/0952-8180(95)00059-q.