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[左肺切除术中右主支气管肿瘤阻塞]

[Right main bronchus tumoral obstruction during left pneumonectomy].

作者信息

Markowicz P, Fossier T

机构信息

Service d'Anesthésie, Groupe Hospitalier Sud-Réunion, 97400 Saint-Pierre, France.

出版信息

Ann Fr Anesth Reanim. 2006 Jun;25(6):648-51. doi: 10.1016/j.annfar.2006.02.014. Epub 2006 Apr 4.

DOI:10.1016/j.annfar.2006.02.014
PMID:16600563
Abstract

We report a case of severe airway obstruction during a pneumonectomy, due to a tumor embolus in the contralateral main bronchus. Trachea was intubated with a single-lumen tube with a bronchial blocker. This kind of accident is very rare, and often fatal. The mass was retrieved by rigid bronchoscopy and the patient made an uneventful recovery.

摘要

我们报告一例肺切除术期间因对侧主支气管肿瘤栓子导致严重气道阻塞的病例。采用单腔气管插管并置入支气管封堵器。这类意外非常罕见,且常致命。通过硬质支气管镜取出肿块,患者顺利康复。

相似文献

1
[Right main bronchus tumoral obstruction during left pneumonectomy].[左肺切除术中右主支气管肿瘤阻塞]
Ann Fr Anesth Reanim. 2006 Jun;25(6):648-51. doi: 10.1016/j.annfar.2006.02.014. Epub 2006 Apr 4.
2
Bronchial obstruction by tumor embolus of contralateral lung during pneumonectomy: report of a case.肺切除术中对侧肺肿瘤栓子导致支气管阻塞:一例报告
J Cardiothorac Surg. 2013 Feb 19;8:26. doi: 10.1186/1749-8090-8-26.
3
[Right bronchial intubation using a left-sided double-lumen tube in a patient with situs inversus].[在一名镜面右位心患者中使用左侧双腔管进行右主支气管插管]
Masui. 2007 Dec;56(12):1411-3.
4
[Pulmonary tumor mass aberration into the bronchus of the intact right lung during total left lung resection].[全左肺切除术中肺肿瘤块突入完整右肺支气管]
Masui. 1999 Apr;48(4):413-5.
5
[Application of rigid bronchoscopy in airway management after lobectomy of lung].[硬质支气管镜在肺叶切除术后气道管理中的应用]
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1997 Aug;19(4):293-6.
6
[Anesthetic management of a patient with tracheal bronchus with one lung ventilation].[气管支气管患者单肺通气的麻醉管理]
Masui. 1999 Oct;48(10):1135-7.
7
[Airway obstruction during one-lung ventilation using a bronchial blocker and a tracheostomy tube].[使用支气管封堵器和气管造口管进行单肺通气期间的气道阻塞]
Masui. 2004 Oct;53(10):1170-2.
8
[A case of left main bronchial rupture due to bronchocath tube].[一例因支气管导管导致左主支气管破裂的病例]
Kyobu Geka. 1991 Jul;44(7):549-51.
9
[Endobronchial chondroma--bronchoscopic resection or thoracic surgery intervention?].[支气管内软骨瘤——支气管镜下切除术还是胸外科手术干预?]
Pneumologie. 1998 May;52(5):249-53.
10
[Placement of a double-lumen tube using a 6 mm diameter fibro-bronchoscope and a Cook exchange catheter in a patient with unforeseen tracheal intubation difficulty].[在一名意外出现气管插管困难的患者中使用直径6毫米的纤维支气管镜和库克交换导管放置双腔管]
Rev Esp Anestesiol Reanim. 2002 Apr;49(4):205-8.

引用本文的文献

1
It's better to be lucky … successful management of an acute endobronchial tumour embolism in the ICU: a case report and review of the literature.运气好更好……重症监护病房中急性支气管内肿瘤栓塞的成功管理:一例病例报告及文献综述
Respirol Case Rep. 2017 Mar 7;5(3):e00225. doi: 10.1002/rcr2.225. eCollection 2017 May.
2
Fatal bronchial obstruction due to a tumor fragment originating from the contralateral lung during pneumonectomy.肺切除术中因对侧肺肿瘤碎片导致的致命性支气管阻塞。
Forensic Sci Med Pathol. 2016 Jun;12(2):211-3. doi: 10.1007/s12024-016-9746-4. Epub 2016 Feb 12.
3
Bronchial obstruction by tumor embolus of contralateral lung during pneumonectomy: report of a case.
肺切除术中对侧肺肿瘤栓子导致支气管阻塞:一例报告
J Cardiothorac Surg. 2013 Feb 19;8:26. doi: 10.1186/1749-8090-8-26.
4
Inability to ventilate after tube exchange postoperative to pneumonectomy.肺切除术后更换导管后无法通气。
Case Rep Anesthesiol. 2012;2012:801093. doi: 10.1155/2012/801093. Epub 2012 Apr 5.