Jha R R, Mishra S, Bhatnagar S
Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.
Anaesth Intensive Care. 2004 Feb;32(1):104-7. doi: 10.1177/0310057X0403200117.
We report a case of rupture of the left main bronchus in a female patient with oesophageal carcinoma, who had received thoracic radiotherapy preoperatively. Endotracheal intubation was achieved with a left-sided double-lumen tube. After almost three hours of intubation and one and half hours of one-lung ventilation, bronchial injury was detected. Immediate surgical repair of the membranous part of the bronchus was undertaken, as well as completion of the oesophagectomy. Radiotherapy-induced damage to the bronchus was thought to have contributed to the rupture. The presentation, diagnosis and management of intraoperative bronchial rupture are discussed.
我们报告一例患有食管癌的女性患者左主支气管破裂的病例，该患者术前接受了胸部放疗。使用左侧双腔气管导管进行气管插管。插管近三小时和单肺通气一个半小时后，发现支气管损伤。立即对支气管膜部进行手术修复，并完成食管癌切除术。认为放疗引起的支气管损伤是导致破裂的原因。本文讨论了术中支气管破裂的表现、诊断和处理。
