Lee C M, Grossman L B
Anesth Analg. 1977 Mar-Apr;56(2):226-7.
During a mediastinoscopy on a 65-year-old man with a carcinoma of the lung, the left pulmonary artery was biopsied inadvertently. The patient became hypotensive due to a loss of 1500 ml of blood in less than 5 minutes. Rapid administration of plasma and whole blood and emergency thoracotomy to control bleeding were necessary. The authors suggest securing an IV route using a large-bore catheter and stress the need to be alert to the possibility of life-threatening hemorrhage occurring during mediastinoscopy.
在对一名65岁肺癌男性患者进行纵隔镜检查时，无意中对左肺动脉进行了活检。患者因在不到5分钟内失血1500毫升而出现低血压。需要迅速输注血浆和全血并进行紧急开胸手术以控制出血。作者建议使用大口径导管建立静脉通路，并强调在纵隔镜检查期间要警惕危及生命的出血情况发生。
