Awake video-thoracoscopic surgery for intractable pneumothorax in pregnancy by using a single portal plus puncture.

Awake video-thoracoscopic surgery for intractable pneumothorax in pregnancy by using a single portal plus puncture.
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清醒电视胸腔镜手术治疗妊娠期顽固性气胸,采用单门加穿刺术。

DOI:
10.1093/icvts/ivt205
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发表时间:
2013
期刊:
Interact Cardiovasc Thorac Surg.
影响因子:
--
通讯作者:
Kondo T.
Kondo T.
中科院分区:
--
文献类型:
--
作者:
Onodera K;Noda M;Okada Y;Kondo T.

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一名31岁女性患者在怀孕第九周主诉胸痛和呼吸困难。患者20岁时曾出现左侧自发性气胸,曾接受胸管引流。她的病史无异常,也没有吸烟史。她没有肺部疾病家族史。胸部X光检查显示右侧气胸。患者在胸腔内接受了胸管引流。当连续漏气不可避免需要手术治疗时,考虑到她的一般情况,我们选择了局麻和硬膜外麻醉下的电视胸腔镜手术。我们的结论是,清醒手术干预适用于特定的妊娠期气胸患者,并且对于最好避免全身麻醉的患者特别有用。
A 31-year old female patient in the ninth week of pregnancy complained of chest pain and dyspnoea. The patient had experienced an episode of spontaneous pneumothorax on the left side at the age of 20 and had undergone chest tube drainage. Her medical history was unremarkable and she had no history of smoking. She had no family history of pulmonary disease. Thoracic radiography showed a pneumothorax on the right side. The patient underwent chest tube drainage in the thoracic space. When surgical intervention for continuous air leakage was unavoidable, we selected video-assisted thoracic surgery under local and epidural anaesthesia in consideration of her general condition. We conclude that awake surgical intervention is applicable in selected patients with pneumothorax in pregnancy and is particularly useful in those in whom general anaesthesia is best avoided.
妊娠期复发性自发性气胸的手术治疗。
DOI: 10.1378/chest.88.2.301
发表时间: 1985
期刊: Chest
影响因子: 9.6
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