PDF(Pubmed)
Abstract：
BACKGROUND: Liposuction is the most commonly performed procedure in aesthetic plastic surgery worldwide, the complications and morbidity are under evaluated. Pneumothorax is thought to be a rare complication after liposuction but the exact rate still unknown.
METHODS: We presented to you a 45-year-old Arabian female with history of hypertension underwent lipoabdominoplasty, back liposuction and gluteal lipofilling. On the first postoperative day, the patient was complaining of chest pain accompanied with tachypnea and tachycardia, oxygen saturation was maintained on room air. Upon chest auscultation, diminished air entry was markedly noted on her left side, immediate chest x-ray and electrocardiogram (ECG) was done, which showed unremarkable x-ray and ECG shows sinus tachycardia. Computed tomography (CT) carried out and showed left side pneumothorax. An urgent thoracic surgery consultation was done and chest tube was inserted. The patient reported immediate improvement of her symptoms and the vital signs retain to normal range. On day 3, air leak stopped, chest tube was clipped by thoracic surgery, and the chest tube was removed 24 h later. The patient had a relatively smooth recovery with no other complications.
CONCLUSIONS: Pneumothorax have possibility to happen with liposuction, awareness of possible risk factors should detect by plastic surgeon, to manage earlier as soon as possible.
METHODS: We presented to you a 45-year-old Arabian female with history of hypertension underwent lipoabdominoplasty, back liposuction and gluteal lipofilling. On the first postoperative day, the patient was complaining of chest pain accompanied with tachypnea and tachycardia, oxygen saturation was maintained on room air. Upon chest auscultation, diminished air entry was markedly noted on her left side, immediate chest x-ray and electrocardiogram (ECG) was done, which showed unremarkable x-ray and ECG shows sinus tachycardia. Computed tomography (CT) carried out and showed left side pneumothorax. An urgent thoracic surgery consultation was done and chest tube was inserted. The patient reported immediate improvement of her symptoms and the vital signs retain to normal range. On day 3, air leak stopped, chest tube was clipped by thoracic surgery, and the chest tube was removed 24 h later. The patient had a relatively smooth recovery with no other complications.
CONCLUSIONS: Pneumothorax have possibility to happen with liposuction, awareness of possible risk factors should detect by plastic surgeon, to manage earlier as soon as possible.
摘要：
背景：吸脂术是全世界美容整形外科中最常用的手术，并发症和发病率正在评估中。气胸被认为是吸脂术后罕见的并发症，但确切的发生率仍然未知。
方法：我们向您介绍了一名45岁的阿拉伯女性，有高血压病史，接受了脂肪腹成形术，背部吸脂术和臀部充脂。术后第一天,患者主诉胸痛伴有呼吸急促和心动过速,在室内空气中保持氧饱和度。胸部听诊时，在她的左侧明显注意到空气进入减少，立即进行胸部X线和心电图(ECG)检查,X线检查不明显，心电图显示窦性心动过速。进行计算机断层扫描（CT）并显示左侧气胸。进行了紧急的胸外科会诊，并插入了胸管。患者报告她的症状立即改善,并且生命体征保持在正常范围。第三天，空气泄漏停止了，胸管是通过胸外科手术夹住的，24小时后取出胸管。患者恢复相对顺利，无其他并发症。
结论：吸脂术有可能发生气胸，对可能的危险因素的认识应该由整形外科医生检测，尽快管理。
方法：我们向您介绍了一名45岁的阿拉伯女性，有高血压病史，接受了脂肪腹成形术，背部吸脂术和臀部充脂。术后第一天,患者主诉胸痛伴有呼吸急促和心动过速,在室内空气中保持氧饱和度。胸部听诊时，在她的左侧明显注意到空气进入减少，立即进行胸部X线和心电图(ECG)检查,X线检查不明显，心电图显示窦性心动过速。进行计算机断层扫描（CT）并显示左侧气胸。进行了紧急的胸外科会诊，并插入了胸管。患者报告她的症状立即改善,并且生命体征保持在正常范围。第三天，空气泄漏停止了，胸管是通过胸外科手术夹住的，24小时后取出胸管。患者恢复相对顺利，无其他并发症。
结论：吸脂术有可能发生气胸，对可能的危险因素的认识应该由整形外科医生检测，尽快管理。
