胸腔鏡下手術を施行した妊娠中自然気胸の1例  [in Japanese] THORACOSCOPIC SURGERY FOR A PREGNANT WOMAN WITH SPONTANEOUS PNEUMOTHORAX  [in Japanese]

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Abstract

症例は,32歳女性.妊娠12週にて左自然気胸を発症し,胸腔ドレナージ施行後,2度にわたって自己静脈血を胸腔内に注入した.治癒し,一度退院するも,再発したため,妊娠19週にて胸腔鏡下手術を施行した.術後は順調に経過し,10日目に退院した.以降再発なく,妊娠39週で自然分娩にて健児を出産した.妊婦に対して手術が必要になった場合,その適応時期は妊娠4~8カ月の妊娠中期であり,胸腔鏡下手術を行うに際しては早期再発をきたさぬよう配慮が必要である.

A 32-year-old woman developed spontaneous pneumothorax at the 12th gestational week. After a chest tube drainage, pleurodesis using autologous blood was performed twice. Once she was discharged from the hospital with good results, but soon she had recurrence of pneumothorax. At the 19th gestational week, a thoracoscopic surgery was performed. Postoperative course was uneventful, and she was discharged on the 10th postoperative day. Thereafter, she had no recurrence of pneumothorax, and her spontaneous delivery at the 39th gestational week was uneventful.<BR>Operation for pregnant women should be performed in the second trimester, the 4~8th gestational months. In performing thoracoscopic surgery, special attention should be paid not to cause recurrence in early postoperative days.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62(2), 373-375, 2001-02-25

    Japan Surgical Association

References:  12

Cited by:  8

Codes

  • NII Article ID (NAID)
    10008388029
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13452843
  • Data Source
    CJP  CJPref  J-STAGE 
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