Zaugg M, Stoehr S, Weder W, Zollinger A
Institute of Anaesthesiology, University Hospital Zürich, Switzerland.
Anaesthesia. 1998 Jan;53(1):69-71. doi: 10.1111/j.1365-2044.1998.00304.x.
We report the occurrence of an accidental pleural puncture by an epidural catheter that happened during the attempted induction of thoracic epidural anaesthesia using a paramedian approach in an awake patient. The incorrect placement of the catheter was recognised while the patient was undergoing thoracoscopic surgery. The possibility of accidental pleural puncture during attempted thoracic epidural catheter placement by either the paramedian or the midline approach should be borne in mind. A misplaced catheter may injure lung tissue and result in a potentially dangerous intra-operative tension pneumothorax.
我们报告了1例在清醒患者中采用旁正中入路试图诱导胸段硬膜外麻醉时，硬膜外导管意外刺破胸膜的情况。在患者接受胸腔镜手术时发现导管放置错误。在试图通过旁正中或中线入路放置胸段硬膜外导管时，应牢记意外刺破胸膜的可能性。放置错误的导管可能会损伤肺组织，并导致术中潜在危险的张力性气胸。
