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[腹部迷走神经切断术后血胸。诊断问题]

[Hemothorax after abdominal vagotomy. Diagnostic problem].

作者信息

Helwing E, Heymann H, Götz J

出版信息

Chirurg. 1977 Jan;48(1):37-8.

PMID:837778
Abstract

Selective or selective-proximal vagotomy has increased in preference as surgical treatment for uncomplicated duodenal ulcer disease. An unusual immediate complication of transabdominal vagotomy is the hemothorax. Few cases of this complication have been reported in literature. Our case represents a variation with simultaneous presence of a both-sided hemothorax. Although the exact etiology of this complication remains obscure, we try to explain this spontaneous hemothorax by operative injuries of subpleural vessels.

摘要

选择性或选择性近端迷走神经切断术作为单纯十二指肠溃疡疾病的外科治疗方法,其应用越来越广泛。经腹迷走神经切断术一种不常见的即刻并发症是血胸。文献中报道的这种并发症病例很少。我们的病例是一种双侧血胸同时存在的变异情况。尽管这种并发症的确切病因仍不清楚,但我们试图通过胸膜下血管的手术损伤来解释这种自发性血胸。

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