Intraoperative Delayed Tension Pneumothorax after Blunt Chest Trauma and Positive Pressure Ventilation: A Case Report

手術中遲發张力性氧胸：一病例报告

鄭仁坤(Jen-Kun Cheng) ； 陳應麟(Yin-Lin Chen) ； 彭國權(Kwok-Kuen Pang) ； 潘武熙(Mu-Hsi Pan) ； 吳國驊(Kuo-Hwa Wu) ； 魏志濤(Tze-Taur Wei)

《中華民國急救加護醫學會雜誌》 8卷1期 (1997/03) Pp. 37-42

https://doi.org/10.30018/JECCM.199703.0007

摘要

张力性氣胸在臨床上是一種可能致命的紧急状況，必须快速診断與治療。本文報告一胸部挫傷病人在手衍中發生張力性氣胸，經紧急插入胸管後病人得以存活。在麻醉状態下病人無法自述有關氣胸症状，醫師必須依靠病人生命徵兆，如心跳，血壓，心電圖，動脈氣體分析等资料及詳细生理检查或紧急胸部X光片作出明確的判断。對於手術前有過胸部挫傷的病人，麻醉醫師更應提高警覺。本文並就有關手衍中氣胸之診断與處理及相關文献加以讨論整理。

關鍵字

氣胸 ； 手術中 ； 麻醉

並列摘要

Tension pneumothorax is a life threatening condition which requires prompt diagnosis and treatment. We report a case of delayed tension pneumothorax caused by blunt chest trauma, which was diagnosed intraoperatively and successfully treated by chest tube insertion. In this case, the tension pneumothorax was thought to be due to blunt chest trauma and precipitated by positive pressure ventilation during anesthesia. The diagnosis and treatment of intraopetative pneumothorax is discussed together with a review of the literature.

並列關鍵字

pneumothorax ； intraoperative ； anesthesia