在甲状腺癌的左淋巴切除术后的双边胆胸部:一个病例报告
Wencong Sun1, Xinhui Wang2, Chao Ding1
1Department of Thyroid Surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, Henan, 450003, China.
Heliyon
|February 26, 2024
概括
双边胆胸部是甲状腺癌手术后的一种罕见并发症. 及时诊断和治疗,包括胸腔排水和体静止素,对于患者的康复至关重要.
科学领域:
- 医学科学 医学科学 医学科学
- 在瘤学瘤学.
- 手术并发症 手术并发症
背景情况:
- 胸腔涉到淋巴液在胸腔空间的积累,这是由于胸腔管道的问题.
- 在甲状腺癌后进行双边胆胸外科手术非常罕见.
- 宫淋巴结解剖是诊断和分期甲状腺癌的常见程序.
研究的目的:
- 为了报告一种罕见的双边胆胸病例,在为甲状腺癌进行宫淋巴结解剖后.
- 突出这一罕见并发症的诊断和管理方面的考虑.
主要方法:
- 介绍了一个28岁女性患者的病例报告.
- 患者接受了甲状腺切除术和淋巴切除术,以治疗甲状腺癌.
- 治疗包括双侧胸部排水,电解质补充剂和体静止素治疗.
主要成果:
- 患者在手术后三天出现了双侧胸.
- 成功治疗导致治疗开始后17天出院.
- 随着实施的管理策略,患者的病情有所改善.
结论:
- 双边胆胸是甲状腺癌手术的罕见但严重并发症.
- 早期发现呼吸障碍等症状至关重要.
- 有效的管理包括迅速的胸腔排水和医疗疗法,如索马托斯塔丁.
- 通过改进的外科手术技术,最大限度地减少胸管损伤对于预防至关重要.
相关概念视频
01:27Pneumothorax-II
146
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
146
01:26Endoscopic Studies II: Thoracocentesis
259
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
259
01:23Chronic Pharyngitis
2.1K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
2.1K
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
197
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
197
01:26Tonsillitis II: Management
111
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
111