TY -的A2跨越山川Alparslan AU - Heyba,默罕默德盟——拉沙德Areej盟——Al-Fadhli阿卜杜勒-阿齐兹PY - 2020 DA - 2020/04/07 TI -检测和术中管理气胸在腹腔镜胆囊切除术中SP - 9273903六世- 2020 AB -术中气胸是一种罕见但潜在的致命并发症,在全身麻醉。肺部疾病史、气压性创伤和腹腔镜手术的风险增加发展中术中气胸。在手术过程中诊断可能很困难,因为常常是特异性的迹象。我们报告一例中年绅士发达在选修腹腔镜胆囊切除术对气胸。病人在术前没有不良事件的风险因素评估(ASA1)。病人接受全身麻醉,机械通风。异常后立即手术端口插入的最初迹象是心动过速和低氧饱和度除了唱的气道阻塞。气胸的诊断是由胸部听诊,后来证实了临床术中胸部x光照片。支持性治疗是通过手动停止手术,立即通风病人使用100%的氧气。明确的治疗是通过插入一个肋间管。 After stabilizing the patient, the surgery was completed; then, the patient was extubated and shifted to the surgical ward. Postoperative computed tomography (CT) scan was done and showed only minimal liver laceration. The patient was discharged after removing the intercostal tube and was stable at the follow-up visit. Therefore, it is important to have a high index of suspicion to early detect and treat such complication. In addition, good communication with the surgeon and use of available diagnostic tools will aid in the proper management of such cases. SN - 2090-6382 UR - https://doi.org/10.1155/2020/9273903 DO - 10.1155/2020/9273903 JF - Case Reports in Anesthesiology PB - Hindawi KW - ER -