Leng C P, Lalwani K
Department of Anaesthesia, Great Ormond Street Hospital For Sick Children, London, UK.
Paediatr Anaesth. 1998;8(3):259-61. doi: 10.1046/j.1460-9592.1998.00709.x.
We present a case report of an asymptomatic 12-year-old girl who was incidentally noted to have a collapsed upper lobe of her right lung during anaesthesia for angiography. After initial success at reexpansion using manual ventilation and suctioning, the lobe collapsed again some 15 min later. Physiological parameters remained stable throughout. Consent was obtained for fibreoptic bronchoscopy which was performed uneventfully and resulted in reexpansion of the lobe. We discuss the difficulty in identifying patients at risk of this complication, the need for therapeutic intervention and the issue of consent.
我们报告一例病例，患者为一名12岁无症状女孩，在血管造影术麻醉期间偶然发现其右肺上叶萎陷。最初通过手动通气和抽吸成功实现复张，但约15分钟后该肺叶再次萎陷。整个过程中生理参数保持稳定。已获得患者同意进行纤维支气管镜检查，检查过程顺利，肺叶得以复张。我们讨论了识别有此并发症风险患者的困难、治疗干预的必要性以及同意的问题。
