论文部分内容阅读
近年来,我院遇到3例肺癌手术患者,在全麻下实施肺癌手术期间并发健侧自发性气胸,其中2例死亡,1例痊愈。现报告如下。 例1:男,58岁。美国麻醉医师协会(ASA)病情估计分级2～3级。临床诊断为右侧肺癌。既往有气管炎、肺气肿病史。在全麻下实施探查术,剖胸后发现肺组织与胸膜广泛粘连,肺组织散在融合肺大泡,壁薄透明且有多处漏气。肺癌组织与肺门冻结,游离血管困难。结扎根部大血管时发现心脏偏移,患者心跳缓慢且无力,继而心脏停跳,即行心脏急救复苏,但未能奏效。 例2:男,57岁。ASA2～3级。临床诊断为左侧肺癌。既
In recent years, our hospital encountered 3 cases of lung cancer surgery patients undergoing spontaneous pneumothorax during the operation of lung cancer combined with general anesthesia, of which 2 patients died and 1 patient recovered. The report is as follows. Example 1: Male, 58 years old. American Society of Anesthesiologists (ASA) condition is estimated grading 2 to 3. Clinical diagnosis of right lung cancer. Past history of bronchitis, emphysema. Exploration under general anesthesia, thoracotomy after chest and lung extensive adhesions found, pulmonary interstitial pulmonary interstitial bubble fusion, thin transparent wall and multiple leaks. Lung cancer and hilar freeze free blood vessels difficult. Ligation of the root large vessels found in the heart of the shift, the patient beats heartbeat slow and weak, then heart beating, that is, cardiac emergency resuscitation, but failed to work. Example 2: Male, 57 years old. ASA2 ~ 3 levels. Clinical diagnosis of left lung cancer. Both