[左肺癌胸部手术期间心脏骤停]
1Department of Respiratory Surgery, Saiseikai Imabari Hospital, Imabari, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|August 21, 2025
概括
一名患者在肺癌手术期间因流动神经刺激而心脏骤停. 外科医生必须在左上中间淋巴结解剖时保持谨慎,以防止这种严重的并发症.
科学领域:
- 心胸外科
- 癌症学
- 麻醉学
背景情况:
- 肺癌的诊断通常需要手术,包括中间淋巴结解剖.
- 左上中间体包含关键结构,包括迷走神经的心脏分支.
- 这一区域的手术具有固有的风险, 包括潜在的心脏并发症.
研究的目的:
- 为了突出肺癌手术中罕见但至关重要的并发症.
- 强调在中间淋巴结解剖过程中对解剖学的认识的重要性.
- 提醒外科和麻醉团队在此过程中心脏骤停的风险.
主要方法:
- 一个69岁的男性患者被诊断出患有肺癌.
- 胸腔镜左上叶切除术和中间淋巴结剖析的描述.
- 在淋巴结解剖期间进行手术心脏骤停的记录.
主要成果:
- 患者在左上中间淋巴结解剖过程中发生心脏骤停.
- 这一事件被归因于无意操纵迷走神经的心脏分支.
- 患者的结果没有具体说明, 但这一事件强调了显著的手术风险.
结论:
- 在左侧的中枢淋巴结上部解剖造成心脏骤停的风险.
- 在这个解剖区域, 外科医生必须非常谨慎.
- 麻醉师应被告知这种风险,以密切监测患者.
更多相关视频
07:02A Large Animal Model for Pulmonary Hypertension and Right Ventricular Failure: Left Pulmonary Artery Ligation and Progressive Main Pulmonary Artery Banding in Sheep
Published on: July 15, 2021
3.2K
06:45Author Spotlight: Insights into the Effect of Ischemia Reperfusion on Lung Transplantation
Published on: April 12, 2024
1.6K
相关概念视频
Pneumothorax-II
355
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:
355
Pneumothorax-I
342
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
342
Cardiomyopathy VII: Pre and Post Operative Nursing Management
27
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
27
Endoscopic Studies II: Thoracocentesis
496
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...
496
Cardiopulmonary Resuscitation II: ACLS Airway Management
93
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
93
Cardiac Catheterization II: Right Heart Catheterization
164
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
164
