PDF(Pubmed)
Abstract：
Shoulder arthroscopy is an increasingly common procedure. Pneumothorax post-shoulder arthroscopy is a rare complication. Our aim is to highlight a case report of pneumothorax post-shoulder arthroscopy and to conduct a literature review to evaluate the possible risk factors. We report the case of a 75-year-old male non-smoker, who underwent right shoulder arthroscopy without regional anaesthesia in the left lateral position and subsequently suffered a pneumothorax post-operatively. A PubMed Medline and Cochrane database search was carried out, and 32 articles were identified and thoroughly reviewed. Overall, among the articles that propose a mechanism, 75% (9/12) consider the pathogenesis to be multifactorial. The exact mechanism is currently unknown. Awareness of this complication and timely recognition are important to prevent life-threatening sequelae. Surgeons should maintain a low threshold for obtaining diagnostic plain radiographs in the event of clinical suspicion.
摘要：
肩关节镜检查是一种越来越常见的手术。肩关节镜后气胸是一种罕见的并发症。我们的目的是强调肩关节镜检查后气胸的病例报告，并进行文献综述以评估可能的危险因素。我们报道了一个75岁的男性不吸烟的案例，他们在左侧卧位没有区域麻醉的情况下接受了右肩关节镜检查，随后在术后出现气胸。进行了PubMedMedline和Cochrane数据库搜索，和32篇文章被确定和彻底审查。总的来说,在提出机制的文章中，75％（9/12）认为发病机制是多因素的。确切的机制目前未知。对这种并发症的认识和及时识别对于防止危及生命的后遗症很重要。在临床怀疑的情况下，外科医生应保持较低的阈值以获得诊断性X线片。
