在手术纠正胸部缩症后的心脏功能障碍,在患有严重胸部挖掘症的患者身上
Max Prost1, Max Joseph Scheyerer2
1University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany. max.prost@med.uni-duesseldorf.de.
概括
胸部缩的手术纠正可以揭示心脏问题,在患有 pectus excavatum. 优先考虑胸腔挖掘手术可以预防这些并发症.
科学领域:
- 整形外科 整形外科 整形外科
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
背景情况:
- 胸部缩和胸部挖掘可以并存.
- 对于严重的形,显示过度形的手术纠正.
- 在乳腺挖掘患者的高密度手术对心脏的影响尚不清楚.
研究的目的:
- 在患有骨挖掘症的患者中,报告高密度修复后心脏并发症的病例.
- 为了突出脊柱和胸骨形之间的生物力学关系.
- 建议进行手术来预防心脏问题.
主要方法:
- 一个男性患者的病例介绍,患有渐进的胸部缩症和挖掘性乳房.
- 使用背脊脊髓切除和骨切除术进行胸腔缩的手术纠正.
- 随后的手术纠正了 pectus excavatum 的情况.
主要成果:
- 过修复了从108°到42°的情况.
- 术后,该患者出现了心动减速,头,心周溢血和右束支部阻塞.
- 胸部挖掘的纠正解决了症状,并改善了后空间.
结论:
- 胸部缩症的手术纠正可以揭露患有骨挖掘症的患者的心脏问题.
- 脊柱,肋骨和胸骨有生物力学相互作用,相互影响.
- 应该优先考虑术前评估和外科纠正pectus excavatum以避免心脏并发症.
更多相关视频
相关概念视频
01:26Flail Chest-II
520
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
520
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
283
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...
283
01:27Pneumothorax-II
897
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:
897
01:29Cardiomyopathy III: Hypertrophic Cardiomyopathy
399
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
399
01:26Pneumothorax-I
1.2K
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.
1.2K