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机器人辅助膈子宫内膜异位症切除术中的术中气胸

Intraoperative Capnothorax during Robotic Diaphragmatic Endometriosis Excision.

作者信息

Dunn Tyler, Misra Lopa

机构信息

Mayo Clinic, Department of Anesthesiology and Perioperative Medicine, 5777 E, Mayo Blvd, Phoenix, AZ 85054, USA.

出版信息

Case Rep Anesthesiol. 2022 Apr 26;2022:5935312. doi: 10.1155/2022/5935312. eCollection 2022.

Abstract

Laparoscopic surgery is performed quite commonly and is known to have numerous advantages over traditional open surgery. Albeit rare, there are life-threatening complications as a result of laparoscopic surgery including those associated with the cardiopulmonary system. In our case, we present hemodynamically unstable capnothorax that occurred during robotic diaphragmatic endometriosis excision which was treated conservatively. It is critical for anesthesia providers to recognize when capnothorax occurs and to understand the implications and treatment in order to minimize unnecessary procedures and morbidity associated with such.

摘要

腹腔镜手术应用十分普遍,且已知其相比传统开放手术具有诸多优势。尽管罕见,但腹腔镜手术会导致危及生命的并发症,包括与心肺系统相关的并发症。在我们的病例中,我们呈现了在机器人辅助膈子宫内膜异位症切除术中发生的血流动力学不稳定的二氧化碳气胸,并对其进行了保守治疗。麻醉医生识别二氧化碳气胸何时发生并了解其影响及治疗方法至关重要,以便尽量减少与此相关的不必要操作和发病率。

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