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Nonintubated Thoracoscopic Bullectomy and Pleurodesis for Spontaneous Pneumothorax in a Patient with Duchenne Muscular Dystrophy: A Case Report

以免插管胸腔鏡肺泡切除術及肋膜沾黏術治療一名氣胸之裘馨氏肌肉失養症病人:病例報告

摘要


Thoracoscopic surgery without tracheal intubation for a patient with Duchenne muscular dystrophy (DMD) has not been reported. We describe a man with DMD who underwent thoracoscopic bullectomy and pleurodesis using a nonintubated anesthetic technique of internal intercostal nerve block, vagal block, and targeted sedation for recurrent spontaneous pneumothorax. The successful results with this patient suggest that nonintubated thoracoscopic bullectomy and pleurodesis is technically feasible and safe for selected patients with DMD.

並列摘要


以免插管方式為裘馨氏肌肉失養症病人進行胸腔鏡手術尚未被報告過。在此,我們報告一名裘馨氏肌肉失養症之男性,接受免插管麻醉方式,包括腔內肋間神經阻斷、迷走神經阻斷、及目標導向鎮靜,進行胸腔鏡肺泡切除術及肋膜沾黏術以治療復發自發性氣胸。此成功的案例經驗表示,對裘馨氏肌肉失養症的病人,免插管胸腔鏡肺泡切除術及肋膜沾黏術是技術上可行且安全的手術方式。

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