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临床资料患者,男,24岁,因“左侧胸腔低分化肉瘤术后半年,气紧1月”于2014年3月26日入四川大学华西医院胸外科。胸部CT示左侧胸腔见一巨大囊状影,内散在附壁软组织团块影,双肺明显压迫不张,纵隔、心脏明显受压右移。左侧第6肋后支离断(图1)。入院诊断:胸腔滑膜肉瘤术后复发。2014年3月28日在华西医院行全身麻醉下“左侧胸腔巨大肿瘤切除+左肺全切术”。入室时患者呈左侧斜坡卧位,不能平卧和右侧卧位,呼吸频率约28次/分,脉搏血氧
Clinical data Patients, male, 24 years old, due to “left thoracic undifferentiated sarcoma six months after surgery, tight gas January ” on March 26, 2014 into the Department of Thoracic Surgery, West China Hospital of Sichuan University. Chest CT showed a huge cystic left thoracic shadow, scattered within the parietal soft tissue mass shadow, the lungs obviously oppression atelectasis, mediastinal, cardiac compression was shifted right. The left 6 ribs after the branch off (Figure 1). Admission diagnosis: recurrent thoracic synovial sarcoma. March 28, 2014 in the West China Hospital under general anesthesia “left pleural tumor resection + left lung resection ”. Into the patient was left lateral supine position, not supine and right lateral decubitus, breathing rate of about 28 beats / min, pulse oximetry