Department of Forensic Medicine, Medical School, University of Pécs, Pécs, Hungary.
Department of Medical Skills Education and Innovation Centre, Operational Medicine Unit, Medical School, University of Pécs, Pécs, Hungary.
Med Sci Law. 2023 Jul;63(3):256-259. doi: 10.1177/00258024231165960. Epub 2023 Mar 22.
A rare and fatal complication of suction drainage of secondary spontaneous pneumothorax is reported. The patient, likely by a mistake, arbitrarily connected the oxygen supply tube to the thoracic drain. The sharp increase of intrapleural pressure combined with the atmospheric intraalveolar environment caused diffuse lung injury and cardiopulmonary collapse without a direct lung injury. The conflicting interests of patient autonomy and patient safety require further consideration.
报告了一例继发自发性气胸引流后罕见且致命的并发症。患者可能由于失误，将供氧管任意连接到胸腔引流管上。胸腔内压力的急剧增加，加上肺泡内的大气环境，导致弥漫性肺损伤和心肺衰竭，而没有直接的肺损伤。患者自主权和患者安全的利益冲突需要进一步考虑。
