Stannard K, Wells J, Cokis C
Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, Wellington Campus, GPO Box X2213, Perth, W.A. 6847.
Anaesth Intensive Care. 2003 Oct;31(5):588-91. doi: 10.1177/0310057X0303100518.
We describe a case of tracheal rupture diagnosed after an apparently routine endotracheal intubation for otherwise uneventful lower abdominal surgery in a 33-year-old woman. Risk factors for tracheal rupture, presenting symptoms and signs, management of tracheal rupture and methods of airway management during the surgical repair of the tracheal laceration are discussed. In this case, "side-by-side" microlaryngoscopy tubes, one endobronchial and the other with the tip in the upper trachea, placed with fibreoptic assistance were used for airway management during the tracheal repair.
我们描述了一例气管破裂病例，该病例是在一名33岁女性接受下腹部常规手术时，看似常规的气管插管后被诊断出来的。本文讨论了气管破裂的危险因素、出现的症状和体征、气管破裂的处理方法以及气管裂伤手术修复期间的气道管理方法。在该病例中，在气管修复过程中，使用了“并排”的微型喉镜管，一根置于支气管内，另一根尖端位于气管上段，通过纤维光学辅助放置，用于气道管理。
