紧急气管插管后气管支气管破裂

Tracheobronchial rupture after emergency intubation.

作者信息

Evagelopoulos N, Tossios P, Wanke W, Krian A

机构信息

Clinic of Thoracic and Cardiovascular Surgery, Heart-Center KWK, Duisburg, Germany.

出版信息

Thorac Cardiovasc Surg. 1999 Dec;47(6):395-7. doi: 10.1055/s-2007-1013183.

DOI:10.1055/s-2007-1013183

PMID:10670801

Abstract

Iatrogenic injuries of the trachea are rare. We report a case of tracheobronchial rupture in a 77-year-old woman after emergency intubation. Early bronchoscopy showed a rupture of the posterior wall of the trachea into the right main bronchus with a total length of 9.5 cm. A right thoracotomy was performed and the tracheal rupture was managed successfully by primary suture. Surgical treatment and possible causes of this lesion are discussed with reference to the literature.

摘要

医源性气管损伤较为罕见。我们报告一例77岁女性在紧急插管后发生气管支气管破裂的病例。早期支气管镜检查显示气管后壁破裂至右主支气管，总长度为9.5厘米。进行了右侧开胸手术，并通过一期缝合成功处理了气管破裂。结合文献讨论了该病变的手术治疗及可能病因。