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頁籤選單縮合
題名 | Torsion of Right Middle Lobe after Pulmonary Resection : Report of a Case=肺葉切除後右中肺葉扭轉 : 病例報告 |
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作者姓名(中文) | 許宏基; 蘇煥鈞; | 書刊名 | 臺灣外科醫學會雜誌 |
卷期 | 43:3 2010.05-06[民99.05-06] |
頁次 | 頁154-157 |
分類號 | 416.224 |
關鍵詞 | 肺葉切除; 右中肺葉扭轉; Torsion of right middle lobe; |
語文 | 英文(English) |
中文摘要 | 肺部肺葉切除後引起的肺葉扭轉是非常少見的併發症。我們報告一例因肺腺癌切除右上肺葉而引起右中葉扭轉的病例。 一位六十歲女性因肺癌住院切除右上肺葉,手術過程順利。手術後第一天胸部X光發現右上縱膈旁有一圓形的陰影,電腦斷層掃描發現擴張不全的右中葉。右中葉扭轉的診斷確立,病患接受立即開胸手術。手術中發現右中葉扭轉且壞死,不得不將右中葉切除。第二次手術順利且病人安然出院。 對於右中葉扭轉,術後的胸部X光及電腦斷層掃描非常重要。要牢記併發症之可能性並早期診斷及立即處理才能避免死亡及併發症。 |
英文摘要 | such a complication after right upper lobe resection for adenocarcinoma of the lung. A 60-year-old female patient underwent a right upper lobe lobectomy for her pulmonary malignancy. On postoperative day 1, a chest radiograph (CXR) revealed an abnormal rounded opacity in the right upper lung field. Chest computed tomography (CT scan) disclosed an atelectatic right middle lobe. Torsion of the right middle lobe was suspected. Immediately, the patient underwent a re-thoracotomy. Right middle lobe torsion was found. Reduction was tried, but failed. A right middle lobe lobectomy was therefore performed. The postoperative course was unremarkable and the patient was discharged without further problems. Both the postoperative CXR and chest CT scan are very important for the diagnosis of lobar torsion. For right middle lobe torsion, early diagnosis and prompt management with lobar resection is crucial to avoid mortality and morbidity. |
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