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相關文獻
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題名 | Tension Pneumocephalus after Thoracic Surgery of Mediastinal Tumor: A Case Report=胸腔外科縱膈腔腫瘤切除術後之張力性顱內積氣:病例報告 |
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作者姓名(中文) | 詹正義; 林坤榮; 許元昱; 張旭超; 郭秀雯; 蔡悅華; | 書刊名 | 中華放射線醫學雜誌 |
卷期 | 32:1 2007.03[民96.03] |
頁次 | 頁31-34 |
分類號 | 416.211 |
關鍵詞 | 縱膈腔腫瘤; 顱內積氣; |
語文 | 英文(English) |
中文摘要 | 胸腔手術後的顱內積氣是很少見的併發症。在文獻上只報告過一個病例。我們在此報告一個接受電視輔助胸腔手術切除後縱膈許旺式細胞瘤後產生張力性顱內積氣的病例。此病患於術後一周發生嚴重頭痛及神經學症狀,電腦斷層掃描顯示張力性顱內積氣。緊急施行開顱術減壓,一周後顱內積氣消失且神經功能也都恢復。在此作文獻回顧及顱內積氣的機制討論。 |
英文摘要 | Pneumocephalus following thoracic surgery is a very rare complication. There is only a reported case in the previous literature. We report a case of tension pneumocephalus after resection of posterior mediastinal Schwannoma by video-assissted thoracic surgery. The patient presented with severe headache and neurogical deterioration one week after the surgery. Computed tomography (CT) scan revealed extensive pneumocephalus. Emergent decompression of the tension pneumocephalus was performed. Pneumocephalus and neurological deficits resolved completely one week later. Literature reviewed and mechanism of pneumocephalus was discussed. |
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