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題 名 | Penetration of Liver, Diaphragm and Lung by Tube Thoracostomy in a Mechanicaly Ventilated Patient: A Rare Case of Chest Tube Malposition=胸管置入造成肺及肝臟穿透:罕見的胸管併發症 |
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作 者 | 江起陸; 趙恆勝; 黃建勝; 張西川; | 書刊名 | 胸腔醫學 |
卷 期 | 28:6 2013.12[民102.12] |
頁 次 | 頁370-374 |
分類號 | 416.22 |
關鍵詞 | 氣胸; 機械通氣; 胸管; 胸腔造口術; Chest tube; Mechanical ventilation; Pneumothorax; Thoracostomy; |
語 文 | 英文(English) |
中文摘要 | 胸管置入術是肋膜疾患的標準治療之一,但有一定的比例產生併發症。我們報告一位55歲本身有糖尿病及呼吸器依賴的女性患者,伴隨發生氣胸而接受胸管置入術。但胸管置入後病患的氧合情況並未改善。胸部電腦斷層發現胸管穿越肝臟、橫膈膜、右下肺後進入肋膜腔,同時發現肺部的瀰漫性間質性病變。在置入新的胸管後,我們以每天往外拔除一些的方式成功移除原來誤置的胸管。臨床上執行胸管置入術時應小心謹慎,尤其是限制性肺疾及呼吸器使用的患者。 |
英文摘要 | Tube thoracostomy is a standard therapy for a number of pleural disorders. However, the procedure involves a certain rate of complications. We reported a 55-year-old woman who had diabetes and required mechanical ventilation due to respiratory failure at another hospital, and then developed right-side pneumothorax. Her oxygenation showed no improvement after tube thoracostomy. The chest computed tomography scans showed that the chest tube had penetrated the liver, diaphragm, and right lower lung into the pleural cavity. Interstitial pneumonitis was also noted. After insertion of a new chest tube, withdrawal of the original one began inch-by-inch every 2-3 days and, was finally removed uneventfully. This case highlights the importance of performing tube thoracostomy with caution in all patients, especially in those who are mechanically ventilated and with restricted lung. |
本系統中英文摘要資訊取自各篇刊載內容。