穿孔胃潰瘍引起中肺腫:一個病例報告
Zhi-Cheng Dai1, Xun-Wu Gui1, Feng-He Yang1
1Department of General Surgery, Mengcheng County First People's Hospital, Mengcheng 233500, Anhui Province, China.
World journal of clinical cases
|February 7, 2024
概括
胃孔穿孔可能导致中肺气. 带有特定麻醉的开放手术对于治疗胃穿孔和相关的中肺气是有效的,可以避免增加胸内压力.
科学领域:
- 胃肠病学 胃肠病学
- 胸部外科手术 胸部外科手术
- 麻醉学 麻醉学
背景情况:
- 中肺瘤涉及中中空气,可能是由包括食道穿孔在内的各种因素引起的.
- 症状范围从轻微的胸痛到严重的呼吸和循环功能衰竭.
- 严重的病例对健康构成重大风险.
研究的目的:
- 为了呈现出胃孔穿孔的次要介质肠缩症的病例.
- 讨论这种情况的手术和麻醉管理.
主要方法:
- 一名75岁的男性在饮酒后出现胃上疼痛和胸部紧张,通过CT和血管学诊断出胃穿孔和中枢脉.
- 开放的胃穿孔修复是在胸部外围麻醉和静脉麻醉下进行的.
- 手术后的护理包括氧气治疗和呼吸练习.
主要成果:
- 计算机断层扫描 (CT) 揭示了腹部的自由气体,中肺气和皮下肺胸部.
- 上部胃肠道血管学检测出0.5厘米的胃肠孔穿孔.
- 手术后的CT扫描显示中和皮下气体的逐渐减少.
结论:
- 胃穿孔可以通过食道间隙导致中肺气.
- 开放式手术比腹腔镜治疗更有利,因为它避免了腹膜升高和中压力的增加.
- 胸腔外周麻醉与静脉麻醉相结合,在通风过程中最大限度地降低了胸腔中间压力.
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