[由于不可吸收的线导致延迟的大型血胸,用于膜重建用于胸腺瘤传播的尖端]
Ayuko Takahashi1, Taisei Aono, Masakazu Yoshida
1Department of Thoracic Surgery, Kurashiki Central Hospital, Kurashiki, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|December 15, 2024
概括
胸腔手术的罕见并发症,血胸,由于 suture 引起肋间动脉出血. 外科医生必须谨慎使用尖的外科材料,以防止这种严重的出血事件.
科学领域:
- 心胸外科手术 心胸外科手术
- 手术并发症 手术并发症
- 胸部瘤学 胸部瘤学
背景情况:
- 侵袭性胸腺瘤需要手术切除,这带有风险.
- 手术后的血胸是胸部手术后可能危及生命的并发症.
- 材料可能会无意中造成胸内结构的损伤.
研究的目的:
- 报告了一起由手术接造成的大型血胸病例.
- 强调在胸部手术中小心处理手术材料的重要性.
- 强调预防措施,防止与接相关的出血并发症.
主要方法:
- 一名57岁的男性患者患有侵入性胸腺瘤,接受了半截面膜切除.
- 患者在术后15天出现了急性右侧胸痛和呼吸障碍.
- 诊断成像 (胸部CT) 揭示了巨大的右血胸,需要紧急手术.
主要成果:
- 紧急胸切除术发现从肋间动脉出血.
- 流血来源是针孔损伤,由用于隔膜修复的不可吸收的单丝 suture 的尖端引起.
- 由于血液动力学休克,患者需要立即进行手术.
结论:
- 大规模的血胸可以发生胸部手术后由于材料损伤.
- 尖端的外科材料,如线尖,对胸内血管构成风险.
- 在胸部手术期间使用此类材料时,包括覆盖或修剪线尖端等注意事项至关重要.
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