...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Clinical and Diagnostic Research >Perioperative Respiratory Compromise in Patients Undergoing PCNL-A Case Series
【24h】

Perioperative Respiratory Compromise in Patients Undergoing PCNL-A Case Series

机译：PCNL-A病例系列患者的围手术期呼吸功能减退

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Percutaneous Nephrolithotomy (PCNL) is a surgical procedure which is used to extract renal pelvic stones. An optimum access tract, without traumatizing the surrounding structures, is essential for the surgery. Trauma to the surrounding structures and extra?vasation of the irrigating fluid may result in complications like hydrothorax, pneumothorax, hydro pneumothorax etc. These complications may produce intra? operative respiratory compromise leading on to arterial hypoxemia and its sequelae. A series of three case reports with review is presented here. First case is accumulation of irrigating fluid in the pleura causing hydrothorax and oxygen desaturation. Second case is extra?vasation of fluid in the abdominal wall and the patient was ventilated artificially for 24 hours. Third patient developed pneumothorax and he needed chest drainage.PCNL is done under general anaesthesia in prone position. The anaesthesiologist should be vigil enough to identify the situation and take appropriate measures to correct it.
机译：经皮肾镜取石术（PCNL）是一种外科手术，用于提取肾盂结石。手术中必不可少的是，最佳的进入通道不会伤及周围结构。周围结构的创伤和冲洗液的外渗可能导致并发症，如胸膜积水，气胸，积水气胸等。术中呼吸功能减退导致动脉血氧不足及其后遗症。这里介绍了一系列三个案例报告，并进行了审查。第一种情况是胸腔积液导致胸腔积水和氧饱和度降低。第二种情况是腹壁积液过多，患者需要人工通气24小时。第三例患者发展为气胸，需要胸腔引流。PCNL在全身麻醉下俯卧。麻醉师应保持足够的警惕，以识别情况并采取适当措施加以纠正。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号