肺癌手术切除后升主动脉破裂1例。

M Morimoto, M Ohashi, H Nobara, Y Fukaya, M Haniuda, F Iida
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引用次数: 7

摘要

本文报道一例女性因肺癌行右上肺叶切除术合并纵隔淋巴结清扫术后第13天发生升主动脉破裂。幸运的是,患者通过紧急手术从心脏填塞和血胸中获救。手术结果提示创伤性主动脉破裂,然而,纵隔淋巴结清扫不能排除为可能的原因。因此,在肺癌手术中应仔细进行纵隔淋巴结清扫。
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Rupture of the ascending aorta after surgical resection for lung cancer--a case report.

A rupture of the ascending aorta which occurred in a woman on the 13th postoperative day following a right upper lobectomy with mediastinal lymph node dissection for lung cancer is reported herein. Fortunately, the patient was rescued from a cardiac tamponade and hemothorax by emergency operation. The operative findings suggested a traumatic rupture of the aorta, however, lymph node dissection of the mediastinum could not be excluded as a possible cause. Therefore, careful mediastinal lymph node dissection should be carefully performed in operations for lung cancer.

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