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体外循环期间的气压伤性气胸:心脏直视手术的一种罕见并发症。

Barotraumatic pneumothorax during cardiopulmonary bypass: a rare complication of open heart surgery.

作者信息

Fujioka M, Reid B S, Young L W

出版信息

Pediatr Radiol. 1979 Oct;8(4):219-21. doi: 10.1007/BF00974037.

DOI:10.1007/BF00974037
PMID:514676
Abstract

In the absence of underlying lung disease, pneumothorax is a rare complication of open heart surgery in patients on cardiopulmonary bypass. However, barotraumatic pneumothoraces may be induced by manually applied endotracheal tube positive pressure to prevent air emboli from the left heart during open heart surgery. Two patients in whom barotraumatic pneumothoraces occurred during cardiopulmonary bypass and open heart surgery are reported.

摘要

在没有潜在肺部疾病的情况下,气胸是体外循环下心内直视手术罕见的并发症。然而,在心脏直视手术期间,为防止左心空气栓塞而手动施加气管内导管正压可能会诱发气压伤性气胸。本文报告了两名在体外循环和心脏直视手术期间发生气压伤性气胸的患者。

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本文引用的文献

1
Pneumothorax: its significance to the anesthesiologist.气胸:其对麻醉医生的意义。
Anesth Analg. 1960 Sep-Oct;39:420-9.
2
The prevention of air embolism during intracardiac surgery.
J Thorac Cardiovasc Surg. 1970 Apr;59(4):484-8.
3
Acute anesthetic respiratory complications.急性麻醉呼吸系统并发症。
Int Anesthesiol Clin. 1972 Spring;10(1):1-12. doi: 10.1097/00004311-197201010-00003.
4
Pulmonary barotrauma during mechanical ventilation.
Crit Care Med. 1973 Jul-Aug;1(4):181-6. doi: 10.1097/00003246-197307000-00001.
5
Pneumothorax resulting from a closed anesthesia ventilator port.因麻醉呼吸机端口封闭导致的气胸。
Anesthesiology. 1977 Sep;47(3):311-3. doi: 10.1097/00000542-197709000-00020.
6
Iatrogenic pneumothorax. An unusual cause.医源性气胸。一个不寻常的病因。
JAMA. 1976 Apr 26;235(17):1879-80. doi: 10.1001/jama.235.17.1879.