Continuous positive airway pressure for treating hypoxemia due to pulmonary vein injury:A case report  

作　　者：Chao Zhou Shan Song Jian-Feng Fu Xue-Lian Zhao Hua-Qin Liu Huan-Shuang Pei Hong-Bo Guo 

机构地区：[1]Department of Anesthesiology,The Fourth Hospital of Hebei Medical University,Shijiazhuang 050001,Hebei Province,China [2]Department of Respiratory,The Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,Hebei Province,China

出　　处：《World Journal of Clinical Cases》2023年第8期1830-1836,共7页世界临床病例杂志

摘　　要：BACKGROUND Vascular injury during thoracoscopic surgery for esophageal cancer is a rare but life-threatening complication that can lead to severe hypotension and hypoxemia.Anesthesiologists need to provide rapid and effective treatment to save patients'lives.CASE SUMMARY A 54-year-old male patient was scheduled to undergo a thoracoscopic-assisted radical resection of esophageal cancer through the upper abdomen and right chest.While dissociating the esophagus from the carina through the right chest,unexpected profuse bleeding occurred from a suspected pulmonary vascular hemorrhage.While the surgeon attempted to achieve hemostasis,the patient developed severe hypoxemia.The anesthesiologist implemented continuous positive airway pressure(CPAP)using a bronchial blocker(BB),which effectively improved the patient’s oxygenation and the operation was completed success-fully.CONCLUSION CPAP using a BB can resolve severe hypoxemia caused by accidental injury of the left inferior pulmonary vein during surgery.

关 键 词：Vascular injury Continuous positive airway pressure HYPOXEMIA Bronchial blocker Esophageal carcinoma resection Case report 

分 类 号：R735.1[医药卫生—肿瘤] R614[医药卫生—临床医学]