PDF(Pubmed)
Abstract：
Postoperative hypoxemia after aortic dissection surgery presents a considerable clinical challenge, and acute respiratory distress syndrome (ARDS) is a common etiology. Prone positioning treatment has emerged as a potential intervention for improving respiratory function in this context. We report the case of a 27-year-old male who developed severe hypoxemia complicated by pulmonary embolism after aortic dissection surgery. He was diagnosed with postoperative hypoxemia combined with pulmonary embolism following aortic dissection. His respiratory status continued to deteriorate despite receiving standard postoperative care, thereby necessitating an alternative approach. Implementation of prone positioning treatment led to a substantial amelioration in his oxygenation and overall respiratory health, with a consistent hemodynamic state observed throughout the treatment. This technique resulted in significant relief in symptoms and improvement in respiratory parameters, facilitating successful extubation and, ultimately, discharge. This case underlines the possible efficacy of prone positioning therapy in managing severe hypoxia complicated by pulmonary embolism following aortic dissection surgery, warranting more thorough research to explore the potential of this treatment modality.
摘要：
主动脉夹层手术后低氧血症提出了相当大的临床挑战，而急性呼吸窘迫综合征(ARDS)是一种常见的病因。在这种情况下，俯卧定位治疗已成为改善呼吸功能的潜在干预措施。我们报告了一名27岁男性在主动脉夹层手术后出现严重低氧血症并伴有肺栓塞的病例。他被诊断为主动脉夹层术后低氧血症合并肺栓塞。尽管接受了标准的术后护理，但他的呼吸状态继续恶化，因此需要一种替代方法。俯卧位治疗的实施导致他的氧合和整体呼吸健康的实质性改善，在整个治疗过程中观察到一致的血液动力学状态。这种技术导致症状的显著缓解和呼吸参数的改善，促进成功拔管，最终,放电。该病例强调了俯卧位疗法在治疗主动脉夹层手术后严重缺氧并发肺栓塞中的可能疗效。需要更深入的研究来探索这种治疗方式的潜力。
