在雷马唑仑镇静下进行无痛柔性支气管镜检查时发生意外气胸：两例病例报告和文献综述。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Clinical Case Reports Pub Date : 2024-11-17 DOI:10.1002/ccr3.9560

Cong Luo, Ru-Yi Luo

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引用次数: 0

摘要

在无痛柔性支气管镜（PFB）检查过程中及时识别气胸是一项挑战。本报告描述了两例连续的 PFB 术后气胸病例，这两例病例均被及时发现并成功治疗。心率骤然减慢并伴有低氧血症对检测接受 PFB 患者的气胸非常有效，而皮下气肿则是一个关键的辅助诊断征象。Remimazolam 可使患者迅速苏醒以协助诊断，从而在 PFB 过程中的紧急情况下提供显著的临床益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Unexpected Pneumothorax During Painless Flexible Bronchoscopy Under Remimazolam Sedation: Two Case Reports and a Literature Review

The timely recognition of pneumothorax during painless flexible bronchoscopy (PFB) can be challenging. This report describes two consecutive cases of pneumothorax following PFB, both of which were promptly identified and successfully treated. A sudden decrease in heart rate, combined with hypoxemia, is highly effective for detecting pneumothorax in patients undergoing PFB, with subcutaneous emphysema serving as a key auxiliary diagnostic sign. Remimazolam may provide significant clinical benefits in emergency situations during PFB by allowing patients to be quickly awakened to assist with diagnosis.

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).