误连胸管:继发性气胸的一种极为罕见的致命并发症。

IF 1.5 4区 医学 Q1 LAW Medicine, Science and the Law Pub Date : 2023-07-01 DOI:10.1177/00258024231165960
Veronika Heckmann, Gábor Simon, Tamás F Molnár
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引用次数: 0

摘要

报告一例罕见且致命的继发性自发性气胸吸入引流并发症。病人,很可能是不小心,把供氧管随意连接到胸腔引流管上了。胸膜内压力的急剧升高,加上肺泡内的大气环境,造成弥漫性肺损伤和心肺衰竭,但无直接肺损伤。患者自主与患者安全的利益冲突需要进一步考虑。
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Misconnected chest tube: An extremely unusual fatal complication of secondary pneumothorax.

A rare and fatal complication of suction drainage of secondary spontaneous pneumothorax is reported. The patient, likely by a mistake, arbitrarily connected the oxygen supply tube to the thoracic drain. The sharp increase of intrapleural pressure combined with the atmospheric intraalveolar environment caused diffuse lung injury and cardiopulmonary collapse without a direct lung injury. The conflicting interests of patient autonomy and patient safety require further consideration.

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来源期刊
Medicine, Science and the Law
Medicine, Science and the Law 医学-医学:法
CiteScore
2.90
自引率
6.70%
发文量
53
审稿时长
>12 weeks
期刊介绍: Medicine, Science and the Law is the official journal of the British Academy for Forensic Sciences (BAFS). It is a peer reviewed journal dedicated to advancing the knowledge of forensic science and medicine. The journal aims to inform its readers from a broad perspective and demonstrate the interrelated nature and scope of the forensic disciplines. Through a variety of authoritative research articles submitted from across the globe, it covers a range of topical medico-legal issues. The journal keeps its readers informed of developments and trends through reporting, discussing and debating current issues of importance in forensic practice.
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