Spontan Şilotoraks (Bir Olgu Sunumu)

Middle East Journal of Anesthesiology Pub Date : 2015-04-17 DOI:10.7247/jtomc.2014.2010

M. Davutoğlu, Tahir Dalkiran, Mahmut Tokur, Yalcin Goksugur, Kadir Söylemez, Fatih Karaokur

引用次数: 1

Abstract

Şilotoraks, duktus torasikus ya da dallarinin bozulmasi ya da tikanikligina bagli olarak plevral araliga siloz sivinin sizmasidir. Oncesinde herhangi bir yakinmasi bulunmayan 3,5 yasinda erkek hasta, oksuruk ve hiriltili solunum sikayetleriyle basvurdu. Akciger grafisinde sol akcigerde konsolidasyon ile birlikte plevral efuzyon saptandi. Kapali sualti drenaja alinan hastanin efuzyon sivisinin gorunumu sut beyaz renkte, pH 7, dansite 1015, trigliserit 2101 mg/dl, glikoz 168 mg/dl, lokosit 590 mm3 bulundu. Plevral efuzyon sivisi kulturunde ureme olmadi. Bu bulgularla hastaya silotoraks tanisi konuldu. Yagdan fakir diyetle birlikte somatostatin 3 μgr/kg/saat baslandi. Somatostatin tedavisine 2 hafta devam edilen hasta 25. gunde toraks tupu cikarilarak taburcu edildi. Şilotoraksin cok nadiren de olsa spontan gerceklesebilecegi, tedavide somatostatin kullaniminin cerrahi mudahale ihtiyacini azaltabilecegi vurgulandi.

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Spontan智利

Chiotorax是指在托氏管、破碎波或快速神经管之间的空隙中的筒仓清管器的大小。3.5岁时，一名男性患者在他的病房里报告了氧气和刺激性左手症状。在Akciger图中，plevral efuzions与左侧的认证合并一起出现。Kapali在热白色、pH值为7、丹斯矿1015、触发2101 mg/dl、葡萄糖168 mg/dl、lokosit 590 mm3的云层中排出了阿里系有效成分的温度。普列夫拉尔·埃夫济恩平民的文化中没有urema。Bulgulara有一个很好的解决方案。除了不良饮食外，生长抑素的压力为3μgr/kg/hour。持续治疗生长抑素两周的患者为25人。枪托上画着香烟。Chiotoraxin很少会自发发生，生长抑素在治疗中的使用已减少到需要手术改变。

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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来源期刊

Middle East Journal of Anesthesiology Medicine-Anesthesiology and Pain Medicine

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： The journal is published three times a year (February, June, and October) and has an Editorial Executive Committee from the department and consultant editors from various Arab countries. A volume consists of six issues. Presently, it is in its 42nd year of publication and is currently in its 19th volume. It has a worldwide circulation and effective March 2008, the MEJA has become an electronic journal. The main objective of the journal is to act as a forum for publication, education, and exchange of opinions, and to promote research and publications of the Middle Eastern heritage of medicine and anesthesia.