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Chest drain in the liver

机译:肝脏的胸腔引流

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A 44-year-old man was admitted in intensive care unit after a suicide attempt by ingestion of 300 mL of caustic (WC net~R ouragan). During hospitalization, the patient was presenting acute right chest pain with a 39.6degC fever, tachycardia and hypoxaemia after hyperemesis. A thoracic computed tomographic scan (CT) with injection showed a right inhalation pneum-opathy and a wide right pleural effusion (Fig. 1A) requiring a pleural drainage. The chest drain (Mallinck-rodt? drain trocard) was placed basally in the eighth intercostal space, but unexpectedly produced 340 mL of veinous blood. The patient was hemodynamically stable. An emergency thoracic-abdominal CT scan with injection showed an unsuitable setting of *the chest drain which was passing through the liver (Fig. IB and C) and no active bleeding or major vessels damage was seen.
机译:一名企图自杀的人通过摄入300毫升苛性碱(WC net〜Rouragan)自杀未遂,被送进重症监护病房。住院期间,患者出现剧痛后出现急性右胸痛,伴有39.6℃发热,心动过速和低氧血症。注射的胸部计算机断层扫描(CT)显示右吸入性肺病和右胸膜广泛积液(图1A),需要进行胸膜引流。将胸腔引流管(Mallinck-rodd®引流管套针)基本放置在第八肋间隙中,但出乎意料地产生了340 mL静脉血。该患者血液动力学稳定。紧急胸腹CT扫描显示,不适当的*胸腔引流通过肝脏(图IB和C),未见活动性出血或大血管损伤。

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