胸腔鏡下肺大泡切除偶發(fā)前列腺癌肺轉(zhuǎn)移一例
發(fā)布時間:2018-06-24 18:25
本文選題:前列腺癌肺轉(zhuǎn)移 + 肺大泡; 參考:《中國胸心血管外科臨床雜志》2016年12期
【摘要】:正臨床資料患者,男,70歲,因左側(cè)胸痛、胸悶5d入院。11個月前曾患"左側(cè)自發(fā)性氣胸"。入院后查體:右肺呼吸音清晰,左肺未聞及呼吸音。胸部X線片檢查示:左側(cè)氣胸。入院后即刻在局部麻醉下行左側(cè)胸腔閉式引流術(shù)。胸部CT檢查示:左側(cè)氣胸,雙肺多發(fā)肺大泡,慢性支氣管炎,肺氣腫(圖1)。患者在全身麻醉下經(jīng)胸腔鏡行肺大泡切除、肺修補術(shù);颊哂覀(cè)90度臥位,取腋中線第7肋間為進鏡孔,腋前線
[Abstract]:The patient, 70 years old, was admitted to hospital for 5 days because of chest pain on the left side. He had suffered from "left spontaneous pneumothorax" 11 months ago. After admission, the right lung breath sound is clear, left lung does not hear and breath sound. Chest X-ray examination showed: left pneumothorax. Left thoracic closed drainage was performed immediately after admission under local anesthesia. Chest CT examination showed left pneumothorax, multiple pulmonary alveoli, chronic bronchitis, emphysema (Fig. 1). The patient underwent thoracoscopic alveolectomy and pulmonary repair under general anesthesia. The right 90 degree position of the patient was supine, the seventh intercostal line of axillary line was taken as the anterior axillary foramen and the anterior axillary foramen.
【作者單位】: 北京市昌平區(qū)醫(yī)院心胸外科;
【分類號】:R737.25;R734.2
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本文編號:2062503
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