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全麻下肩关节镜术后自发性气胸 1 例报告

Spontaneous pneumothorax after shoulder arthroscopy under general anesthesia: a case report.

机构信息

Department of Anesthesiology and Pain Medicine, Daejeon Eulji University Medical Center, Eulji University School of Medicine, Daejeon, Korea.

Department of Orthopedic Surgery, Daejeon Eulji University Medical Center, Eulji University School of Medicine, Daejeon, Korea.

出版信息

J Int Med Res. 2023 Jul;51(7):3000605231189367. doi: 10.1177/03000605231189367.

Abstract

A woman in her early 70s presented with a right fifth rib fracture along with left scapular body and glenoid fractures resulting from a traffic accident. She had no history of lung disease. The patient underwent multi-incisional video-guided arthroscopic fracture reduction and screw fixation in the right lateral decubitus position under general anesthesia, and surgery was followed by chest tube insertion. Left-sided pneumothorax was found during routine postoperative radiography despite the absence of relevant symptoms or signs such as hypoxia, chest pain, or respiratory difficulty. We herein report this unusual case with a brief literature review.

摘要

一位 70 岁出头的女性因交通事故导致右侧第五肋骨骨折,同时伴有左侧肩胛体和肩胛盂骨折。她没有肺部疾病的病史。患者在全身麻醉下取右侧侧卧位,行多切口视频引导关节镜下骨折复位和螺钉固定术,术后常规行胸腔引流管插入。尽管患者没有缺氧、胸痛或呼吸困难等相关症状或体征,但在术后常规 X 线检查时发现左侧气胸。我们在此报告这一不常见病例,并进行文献复习。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390b/10392293/af31c9989083/10.1177_03000605231189367-fig1.jpg

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