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Delayed Massive Hemothorax-A Rare Late Complication after Recurrent Pectus Excavatum Repaired by Nuss Procedure

延遲性大量血胸-罕見復發性漏斗胸經納氏矯正術術後之併發症

摘要


納氏矯正術是對胸廓畸形之漏斗胸的一種新式微創手術,延遲性之血胸是極少見的併發症,通常在術後一至二個月發生。緊急之胸管引流術為首要之治療,若病人之生命徵象或血行動力學狀態不穩定,手術確認並控制出血即為必要。本文報告一位十九歲男性漏斗胸復發病患,接受納氏矯正術六個月後併發大量血胸。原因是激烈運動後,固定矯正板之鋼絲斷裂,造成肋骨及肋間血管之傷害及活動性出血。病患接受胸管引流、輸血,微創開胸止血,並重新固定矯正板後出院。

關鍵字

血胸 漏斗胸 納氏矯正術

並列摘要


The Nuss procedure is a popular new technique for the correction of pectus excavatum (PE) [1-2]. Delayed hemothorax is an extremely rare complication which often occurs within 1 to 2 months postoperatively [3-5]. Emergent tube thoracostomy is mandatory and surgery is indicated if the hemodynamic status remains unstable or continuous hemorrhage is noted [6]. We report a patient who experienced delayed hemothorax 6 months after a Nuss procedure for recurrent PE. This condition was caused by injury to the rib under the pectus bar with active bleeding.

並列關鍵字

hemothorax pectus excavatum Nuss procedure

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