气管无名动脉瘘：诊断与处理

Tracheoinnominate fistula: diagnosis and management.

作者信息

Allan James S, Wright Cameron D

机构信息

Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Blake 1570, 55 Fruit Street, Boston, MA 02114, USA.

出版信息

Chest Surg Clin N Am. 2003 May;13(2):331-41. doi: 10.1016/s1052-3359(03)00006-1.

DOI:10.1016/s1052-3359(03)00006-1

PMID:12755317

Abstract

TIF is a rare and often fatal complication of tracheostomy. Bleeding from the trachea after tracheostomy demands urgent investigation. Bronchoscopy is the diagnostic procedure of choice. Bedside control of hemorrhage by cuff overinflation or by digital arterial compression can be lifesaving. Prompt operation with division of the innominate artery and subsequent separation of the trachea from the divided artery by viable tissue is indicated. Neurologic complications are rare.

摘要

气管无名动脉瘘（TIF）是气管造口术一种罕见且常致命的并发症。气管造口术后气管出血需要紧急检查。支气管镜检查是首选的诊断方法。通过过度充气袖带或指压动脉在床边控制出血可能挽救生命。应立即手术，切断无名动脉，随后用有活力的组织将气管与切断的动脉分离。神经并发症罕见。