患者,男,36岁,胸部挤压伤后30 min 急诊入院。入院后极度烦躁,呼吸困难,双肺呼吸音弱,左侧尤其明显,RR 42次/分,SpO265%,心音遥远,HR 136次/分,BP 65/24 mm Hg,双侧胸腔闭式引流后症状未缓解,急诊 CT 检查：纵隔气肿。初步诊断为支气管...患者,男,36岁,胸部挤压伤后30 min 急诊入院。入院后极度烦躁,呼吸困难,双肺呼吸音弱,左侧尤其明显,RR 42次/分,SpO265%,心音遥远,HR 136次/分,BP 65/24 mm Hg,双侧胸腔闭式引流后症状未缓解,急诊 CT 检查：纵隔气肿。初步诊断为支气管损伤,由于患者呼吸循环不稳,决定当地医院急诊开胸探查。入手术室后,开通两路上肢静脉,给予依托咪酯10 mg、舒芬太尼15μg 快速诱导,静注罗库溴铵40 mg,选择 ID 7.5#气管导管行气管内插管后,间歇性气道正压通气（IPPV）,潮气量6 ml/kg,立即在右侧卧位下经左侧开胸探查。展开更多
Surgical repair of congenital diaphragmatic hernia (CDH) can be performed by means of either direct suturing of the diaphragm or positioning of a prosthetic patch. However, half of all prosthetic patches show evidence...Surgical repair of congenital diaphragmatic hernia (CDH) can be performed by means of either direct suturing of the diaphragm or positioning of a prosthetic patch. However, half of all prosthetic patches show evidence of reherniation. We describe the case of an 8-year-old girl who presented with prosthesis dislocation and fistulization in the right lower bronchus as a complication of a CDH repair that she underwent when she was 1 year old. Abdominal ultrasound and magnetic resonance imaging suggested a hernia relapse, whereas chest computed tomographic scan failed to identify the diaphragmatic defect. Only fibrobronchoscopy allowed fistulization of the prosthesis into the bronchi to be correctly diagnosed.展开更多
文摘Surgical repair of congenital diaphragmatic hernia (CDH) can be performed by means of either direct suturing of the diaphragm or positioning of a prosthetic patch. However, half of all prosthetic patches show evidence of reherniation. We describe the case of an 8-year-old girl who presented with prosthesis dislocation and fistulization in the right lower bronchus as a complication of a CDH repair that she underwent when she was 1 year old. Abdominal ultrasound and magnetic resonance imaging suggested a hernia relapse, whereas chest computed tomographic scan failed to identify the diaphragmatic defect. Only fibrobronchoscopy allowed fistulization of the prosthesis into the bronchi to be correctly diagnosed.
