‫ﭘﻨﻮﻣﻮﻧﻜﺘﻮﻣﻲ‬ ‫رادﻳﻜﺎل‬ ‫از‬ ‫ﭘﺲ‬ ‫ﻗﻠﺐ‬ ‫ﻫﺮﻧﻴﺎﺳﻴﻮن‬ : ‫ﻣﺘ‬ ‫ﺑﺮرﺳﻲ‬ ‫و‬ ‫ﻣﻮردي‬ ‫ﮔﺰارش‬ ‫ﻮن‬ ‫دوره‬ ،‫ﺗﻬﺮان‬ ‫ﭘﺰﺷﻜﻲ‬ ‫ﻋﻠﻮم‬ ‫داﻧﺸﮕﺎه‬ ،‫ﭘﺰﺷﻜﻲ‬ ‫داﻧﺸﻜﺪه‬ ‫ﻣﺠﻠﻪ‬ 65 ، ‫ﺷﻤﺎره‬ 10 ، ‫دي‬ 1386 70 ‫و‬ ‫ﻣﻴﺪازوﻻم‬ µgr 125 ‫ﻓﻨﺘ‬ ‫و‬ ‫ﺎﻧﻴﻞ‬ mg 75 ‫ﺑـﺎ‬ ،‫ورﻳـﺪي‬ ‫ﻟﻴﺪوﻛﺎﺋﻴﻦ‬ ‫ﺑﻴﻤﺎر‬ ‫ﻣﻌﺮﻓﻲ‬ ‫ﭼﻜﻴﺪه‬ ‫ﻣﻘﺪﻣﻪ‬ 68 ‫داﻧ‬ ،‫ﭘﺰﺷﻜﻲ‬ ‫داﻧﺸﻜﺪه‬ ‫ﻣﺠﻠﻪ‬ ‫دوره‬ ،‫ﺗﻬﺮان‬ ‫ﭘﺰﺷﻜﻲ‬ ‫ﻋﻠﻮم‬ ‫ﺸﮕﺎه‬ 65 ‫ﺷﻤﺎره‬ ، 10 ، ‫دي‬ 1386 ، 71-‫ﺷﻜﻞ‬-1 : ‫ﭘﺮﻳﻜﺎ‬ ‫ﻧﻘﺺ‬ ‫وﺟﻮد‬ ‫در‬ ‫رد‬ ‫ﺗﻮراﻛﻮﺗﻮﻣﻲ‬ ‫ﻣﺠﺪد‬ ‫ﻫﺮﻧﻴﺎﺳﻴﻮن‬ ‫از‬ ‫ﭘﺲ‬ ‫ﺷﻜﻞ‬-2 :

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... ﻲ‬ ‫راه‬ ‫ﻣﺜﺒﺖ‬ ‫ﻓﺸﺎر‬ ‫اﻋﻤﺎل‬ ‫ﻣﺘﻌﺎﻗﺐ‬ ‫ﻗﻠﺐ‬ ‫ﻫﺮﻧﻴﺎﺳﻴﻮن‬ ‫ﻣﺸﺎﻫﺪه‬ ‫ﻣﺤﻤﺪ‬ ‫ﻋﻠﻲ‬ ‫ﻧﻮﻳﺎن‬ ‫اﺷﺮف‬ ‫ﻫﻤﻜﺎران‬ ‫و‬ 69 ‫داﻧﺸﮕﺎه‬ ،‫ﭘﺰﺷﻜﻲ‬ ‫داﻧﺸﻜﺪه‬ ‫ﻣﺠﻠﻪ‬ ‫دوره‬ ،‫ﺗﻬﺮان‬ ‫ﭘﺰﺷﻜﻲ‬ ‫ﻋﻠﻮم‬ 65 ، ‫ﺷﻤﺎره‬ 10 ، ‫دي‬ 1386 ‫ﮔ‬ ‫از‬ ‫ﺑﺮﺧﻲ‬ ‫ﭘﻨﻮﻣﻮﻧﻜﺘﻮﻣﻲ‬ ‫ﻣﺘﻌﺎﻗﺐ‬ ‫ﻗﻠﺐ‬ ‫ﻫﺮﻧﻴﺎﺳﻴﻮن‬ ‫از‬ ‫اﺧﻴﺮ‬ ‫ﺰارﺷﺎت‬ ‫ﻋﻼﻳﻢ‬ ‫ﻛﻨﻨﺪه‬ ‫ﻣﺴﺘﻌﺪ‬ ‫ﻋﺎﻣﻞ‬ ‫ﺳﺎل‬ ‫ﻧﻮﻳﺴﻨﺪه‬ ‫در‬ 24 ‫و‬ ‫ﻛﺎردي‬ ‫ﺑﺮادي‬ ،‫ﻋﻤﻞ‬ ‫از‬ ‫ﭘﺲ‬ ‫اول‬ ‫ﺳﺎﻋﺖ‬ PVC ‫ﺷﻮك‬ ‫و‬ ‫ﺳﺮﻓﻪ‬ ‫ﻣﻜﺮر‬ ‫ﻫﺎي‬ 1994 Sugamoto T 1 ‫در‬ 28 ‫در‬ ‫ﺷﻮاﻫﺪ‬ ‫وﺟﻮد‬ ‫وﻟﻲ‬ ‫ﺑﺎﻟﻴﻨﻲ‬ ‫ﻋﻼﻳﻢ‬ ‫ﺑﺪون‬ ،‫ﻋﻤﻞ‬ ‫از‬ ‫ﭘﺲ‬ ‫ﺳﺎﻋﺖ‬ ECG ‫ﻣﺴﺘﻌﺪﻛﻨﻨﺪه‬ ‫ﻋﺎﻣﻞ‬ ‫ﺑﺪون‬ 1992 Baaijens PF 11 ‫دو‬ ‫ﺧﻮن‬ ‫ﻓﺸﺎر‬ ‫اﻓﺖ‬ ،‫ﻋﻤﻞ،ﺗﺎﻛﻴﻜﺎردي‬ ‫از‬ ‫ﭘﺲ‬ ‫ﺳﺎﻋﺖ‬ ‫ﭘﺸﺖ‬ ‫ﺑﻪ‬ ‫ﺧﻮاﺑﻴﺪه‬ ‫ﺑﻪ‬ ‫ﭘﻮزﻳﺸﻦ‬ ‫ﺗﻐﻴﻴﺮ‬ ‫از‬ ‫ﭘﺲ‬ 1992 Forget AP 2 ‫ﭼﻬﺎر‬ ‫ﻫﻤﻮدﻳﻨﺎﻣﻴﻚ‬ ‫ﻧﺎﭘﺎﻳﺪاري‬ ‫ﺑﺎ‬ ‫ﻋﻤﻞ‬ ‫از‬ ‫ﭘﺲ‬ ‫ﺳﺎﻋﺖ‬ ‫ﻣﺴﺘﻌﺪﻛﻨﻨﺪه‬ ‫ﻋﺎﻣﻞ‬ ‫ﺑﺪون‬ 2007 Mehanna MJ 5 ‫ﺳﻴﻨﻪ‬ ‫ﻗﻔﺴﻪ‬ ‫ﮔﺮاﻓﻲ‬ ‫در‬ ‫اﺗﻔﺎﻗﻲ‬ ‫ﻳﺎﻓﺘﻪ‬ ‫ﺑﺎ‬ ‫ﻋﻤﻞ‬ ‫از‬ ‫ﭘﺲ‬ ‫ﺳﺎﻋﺖ‬ ‫ﭼﻨﺪ‬ ‫ﺗ‬ ‫از‬ ‫ﭘﺲ‬ ‫راﺳﺖ‬ ‫ﺟﺎﻧﺒﻲ‬ ‫ﻧﻴﻤﻪ‬ ‫ﺑﻪ‬ ‫ﭘﻮزﻳﺸﻦ‬ ‫ﻐﻴﻴﺮ‬ 1999 Self RJ 15 ‫ﺷﺶ‬ ‫ﻓﻮﻗﺎﻧﻲ‬ ‫وﻧﺎﻛﺎواي‬ ‫ﺳﻨﺪرم‬ ‫ﻋﻼﻳﻢ‬ ‫ﺑﺎ‬ ‫ﻋﻤﻞ‬ ‫از‬ ‫ﭘﺲ‬ ‫ﻣﺎه‬ ‫ﭘﻠﻪ‬ ‫از‬ ‫ﺑﺎﻻرﻓﺘﻦ‬ ‫ﻫﺎ‬ 2004 Zandberg FT Background: Cardiac herniation is a fatal post pneumonectomy complication. We report the signs, clinical findings, diagnosis and management of a patient with post pneumonectomy cardiac herniation. Case report: A 34-year-old man with lung cancer underwent left pneumonectomy with partial pericardiectomy in the right lateral decubitus position. At the end of the surgery, cardiovascular collapse, severe bradycardia, desaturation and elevated airway pressure occurred just after repositioning the patient to the supine position. This patient survived as we returned him to the right lateral decubitus position and avoided the use of positive pressure ventilation. Conclusions: Attention to the acute complications of pneumonectomy, diagnosis and rapid therapeutic interventions is essential in post pneumonectomy care.