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Closed thoracocentesis and left pleural drainage for unilateral diaphragmatic relaxation

DOI: https://doi.org/10.29296/25877305-2020-11-11
Issue: 
11
Year: 
2020

O. Deryaeva(1)*, Candidate of Medical Sciences; T. Slepokurova(2); Yu. Tushinskaya(1); M.
Izyumov(1), Candidate of Medical Sciences; M. Romantsov(1) (1)N.N. Burdenko Voronezh State Medical
University (2)Central City Hospital Twenty, Yekaterinburg

Diaphragmatic relaxation can cause a number of difficulties during emergency medical care. To date, there are no clear recommendations governing the actions of surgeons in such situations. The paper describes a clinical case of closed thoracocentesis and pleural drainage for left pleural empyema in a patient with unilateral diaphragmatic relaxation. It shows that invasive intervention under online ultrasound guidance can be performed to prevent iatrogenic injuries of the abdominal organs and to improve the quality of rendered emergency medical care.

Keywords: 
diaphragmatic relaxation
empyema
pleural ultrasound
chest x-ray
closed thoracocentesis



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