Shlugman D, Satya-Krishna R, Loh L
Neuro-intensive Care Unit, Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE, UK.
Br J Anaesth. 2003 Apr;90(4):517-20. doi: 10.1093/bja/aeg074.
Percutaneous dilatational tracheostomy (PDT) is associated with a number of life-threatening complications. We present a case of massive and fatal arterial haemorrhage that occurred in the intensive care unit during an elective PDT on an 86-year-old woman following earlier evacuation of a traumatic subdural haematoma. An avulsed right subclavian artery was found at post mortem. Previous thyroid surgery and aberrant arterial anatomy contributed to the fatal outcome.
经皮扩张气管切开术（PDT）会引发多种危及生命的并发症。我们报告一例大规模致命性动脉出血病例，该病例发生在一名86岁女性患者的择期经皮扩张气管切开术中，当时她正在重症监护病房，此前已清除创伤性硬膜下血肿。尸检发现右锁骨下动脉撕裂。既往甲状腺手术及异常的动脉解剖结构导致了这一致命后果。
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