在胸腔镜肺切除之后,广泛的皮下疹
Khuloud H Alnuaimi1,2, Reem F Almerri1, Mouza S Alneyadi1,2
1Emergency Medicine, Sheikh Tahnoon Bin Mohammed Medical City (STMC), Al-Ain, ARE.
Cureus
|December 30, 2025
概括
肺部手术后严重的皮下肺 (SCE) 可能危及生命. 通过皮下下水道进行连续吸液排水,为广泛的病例提供了最终的治疗方法,改善了患者的治疗结果.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 手术并发症 手术并发症
背景情况:
- 皮下肺 (SCE) 是胸部手术后的一种不常见的并发症.
- 虽然经常自我限制,但严重的SCE可以迅速危及呼吸道,需要及时干预.
研究的目的:
- 在患有间歇性肺病的患者中报告广泛的术后SCE病例.
- 突出管理严重SCE的挑战和皮下排水的有效性.
主要方法:
- 一名71岁的男性患有间歇性肺病,经历了胸腔镜切除术.
- 开发了具有呼吸道损伤的广泛SCE,最初使用"气孔"切口进行治疗.
- 最终通过连接到连续吸收的24 Fr皮下排水管来管理.
主要成果:
- 用"气孔"切口进行的初始保守管理失败了,导致呼吸道恶化和紧急输管.
- 随着持续吸收的皮下排水,导致了最终的改善.
- 患者成功地从呼吸器支中断奶,并出院.
结论:
- 早期识别和积极管理对于严重的术后SCE至关重要.
- 连续吸入的皮下排水是对耐火病例的潜在有效治疗方法.
- 这种方法可以防止需要在严重的SCE中进行更具侵入性的干预.
相关概念视频
Pneumothorax-II
821
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:
821
Pneumothorax-I
1.1K
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.
1.1K
Endoscopic Studies II: Thoracocentesis
1.2K
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...
1.2K
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
486
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...
486
Flail Chest-II
484
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:
484
Pulmonary Embolism I: Introduction
457
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
457


