在为心脏起器植入单侧下关节静脉注射后的双边肺胸:一个案例报告
Takuya Kuninobu1, Hirofumi Kawamata1, Sakiko Honda1
1Department of Cardiology, Matsushita Memorial Hospital, Moriguchi, JPN.
Cureus
|October 7, 2024
概括
双边肺胸发生在通过单边关节下静脉管植入心脏起器后. 这种罕见的并发症需要胸腔管放置治疗.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 医疗器械并发症 医疗器械并发症
背景情况:
- 斜侧肺胸 (ipsilateral pneumothorax) 是已知的心脏起器植入的并发症之一.
- 通过静脉输入的放入有风险,包括肺部损伤.
研究的目的:
- 报告一种罕见的双边肺胸病例,该病例是由于心脏起器植入而导致单边下静脉进入.
- 突出警的术后监测对于意外并发症的重要性.
主要方法:
- 一个85岁的老妇人接受了双腔心脏起器植入的案例报告.
- 利用光学和对比静脉学进行插入.
- 诊断成像包括心声回声和计算机断层扫描,以排除其他并发症.
- 胸管插入用于双边肺胸的管理.
主要成果:
- 患者在心脏起器植入后的第二天出现了双边肺胸.
- 没有发现心周溢出或挤出.
- 通过胸腔导管成功治疗,该导管在一周后没有进一步的并发症就被移除了.
结论:
- 在罕见的情况下,单侧关节下静脉管可以在心脏起器植入过程中导致双边肺胸.
- 仔细监测和及时干预对于管理这种并发症至关重要.
- 这一案例强调了需要意识到潜在的双边腹腔空间参与的必要性.
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