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作 者:Ravshan Alievich Ibadov Shukhrat Nurmatovich Khudaybergenov Otabek Djuraevich Eshonkhodjaev Sardor Khamdamovich Ibragimov Anvarbek Shamkhatovich Arifjanov Bakhodir Farkhodovich Turgunov Ravshan Alievich Ibadov;Shukhrat Nurmatovich Khudaybergenov;Otabek Djuraevich Eshonkhodjaev;Sardor Khamdamovich Ibragimov;Anvarbek Shamkhatovich Arifjanov;Bakhodir Farkhodovich Turgunov(Republican Specialized Scientific and Practical Medical Center for Surgery Named after Academician V. Vakhidov, Tashkent, Uzbekistan)
出 处:《Open Journal of Emergency Medicine》2023年第2期37-44,共8页急诊医学(英文)
摘 要:Hydatid disease or echinococcosis is a zoonotic parasitic disease. The lungs are the second most commonly affected organ after the liver. Intrathoracic and extrapulmonary hydatid disease can affect the pleura, mediastinum, heart, diaphragm, and chest wall. The unusual location or complications of thoracic hydatid disease can present both a diagnostic problem and a therapeutic and surgical problem. We present results of a case of multilocular thoracic hydatid disease complicated by aortic wall erosion and cystic fistula in a 23-year-old patient who developed acute respiratory distress syndrome (ARDS) on the 4<sup>th</sup> day after emergency pneumonectomy. The surgery was carried out under the conditions of the auxiliary artificial circulation. This case represented a serious clinical situation with the highest risk to life. The need for immediate respiratory support was due to the development of severe respiratory failure, and the presence of direct and indirect harmful factors of ARDS. The correct choice of modes and techniques of mechanical ventilation resulted in significant and sustained improvement in gas exchange parameters without hemodynamic disorders with a further favorable outcome.Hydatid disease or echinococcosis is a zoonotic parasitic disease. The lungs are the second most commonly affected organ after the liver. Intrathoracic and extrapulmonary hydatid disease can affect the pleura, mediastinum, heart, diaphragm, and chest wall. The unusual location or complications of thoracic hydatid disease can present both a diagnostic problem and a therapeutic and surgical problem. We present results of a case of multilocular thoracic hydatid disease complicated by aortic wall erosion and cystic fistula in a 23-year-old patient who developed acute respiratory distress syndrome (ARDS) on the 4<sup>th</sup> day after emergency pneumonectomy. The surgery was carried out under the conditions of the auxiliary artificial circulation. This case represented a serious clinical situation with the highest risk to life. The need for immediate respiratory support was due to the development of severe respiratory failure, and the presence of direct and indirect harmful factors of ARDS. The correct choice of modes and techniques of mechanical ventilation resulted in significant and sustained improvement in gas exchange parameters without hemodynamic disorders with a further favorable outcome.
关 键 词:Hydatid Disease of the Lung Hemorrhagic Shock PNEUMONECTOMY Acute Respiratory Distress Syndrome
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