Postpartum Bilateral Tension Pneumothoraces
CUREUS(2019)
摘要
We report the first case report of postpartum bilateral tension pneumothoraces. A 31-year-old primigravida presented with obstructive shock and respiratory failure five days following a normal spontaneous vaginal delivery. Bilateral surgical chest drains were inserted and following computed tomography suggestive of an underlying interstitial lung disease she was transferred to a tertiary cardiothoracic centre. Video-assisted thoracic surgery was carried out with left apicectomy and parietal pleurectomy. Histopathology supported a diagnosis of pulmonary lymphangioleiomyomatosis. We discuss the pathophysiology of labour-induced barotrauma and examine pertinent elements of the acute management of this case.
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关键词
pneumothorax,postpartum,resuscitation,lymphangioleiomyomatosis,chest drain,interstitial lung disease,maternal complications,ultrasound,emergency medicine,ketamine
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