Anesthetic evaluation and management of a patient with thoracic endometriosis syndrome presenting for elective surgery

被引：3
作者：
Webb, Christopher A. J. [1 ]
Weber, Garret M. [1 ]
Raker, Richard K. [1 ]
机构：
[1] Columbia Univ, Med Ctr, Coll Phys & Surg, Dept Anesthesiol, New York, NY 10032 USA
来源：
JOURNAL OF CLINICAL ANESTHESIA | 2013年 / 25卷 / 03期
关键词：
Catamenial pneumothorax; Endometriosis; Pneumothorax; Thoracic endometriosis; Thoracic endometriosis syndrome; RESPIRATORY-DISTRESS-SYNDROME; ACUTE LUNG INJURY; CATAMENIAL PNEUMOTHORAX; TIDAL VOLUME; VENTILATION; MECHANISMS;
D O I：
10.1016/j.jclinane.2012.10.011
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Thoracic endometriosis syndrome is a relatively uncommon disorder characterized by recurrent pneumothoraces, hemothorax, chest pain, dyspnea, and hemoptysis within 48 to 72 hours of menstruation. A 34 year old, ASA physical status 2 woman with recurrent catamenial pneumothoraces due to thoracic endometriosis syndrome is presented. After treatment with video-assisted thoracoscopic surgery, she underwent successful elective diagnostic abdominal laparoscopy without incident. The presence of parenchymal injury and damage predisposes these patients to ventilator-induced lung injury. Postponement of surgery until the intermenstrual period, with lung protective ventilation, allows patients with this disease to successfully undergo general anesthesia and surgery. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码：220 / 223
页数：4
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