Tsuda Kazunobu, Kinoshita Rieko, Yamada Keisuke, Tsubokawa Tsunehisa, Yamamoto Ken
Department of Anesthesiology and Intensive Care Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa 920-8641.
Masui. 2006 Jan;55(1):100-2.
A 57-year-old man with carcinoma of the esophagus was scheduled for a subtotal esophagectomy. We used a bronchial blocker tube to perform one-lung ventilation (OLV). But the OLV was not feasible because of a tracheobronchial anomaly of the right superior lobe bronchus. We replaced the bronchial blocker tube with a standard double lumen tube, and the OLV thus became complete. When we cannot perform a complete OLV with a bronchial blocker tube, we should consider the possibility of a tracheobronchial anomaly. When one is found in the right superior lobe bronchus, we should use a standard double lumen tube to perform the OLV.
一名57岁的食管癌男性患者计划接受食管次全切除术。我们使用支气管封堵管进行单肺通气（OLV）。但由于右上叶支气管存在气管支气管异常，单肺通气无法实施。我们将支气管封堵管换成了标准双腔管，从而成功完成了单肺通气。当我们无法使用支气管封堵管完成单肺通气时，应考虑气管支气管异常的可能性。当发现右上叶支气管存在异常时，我们应使用标准双腔管进行单肺通气。
