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硬质支气管镜检查期间可重复使用吸引导管的罕见并发症。

Unusual complication of reusable suction catheter during rigid bronchoscopy.

作者信息

Hari Churunal K, Petheram Tim, Garth Richard

机构信息

Department of Otolaryngology Head and Neck Surgery, Royal Devon Hospital, Exeter, UK.

出版信息

Eur Arch Otorhinolaryngol. 2007 Dec;264(12):1509-11. doi: 10.1007/s00405-007-0381-2. Epub 2007 Jul 4.

DOI:10.1007/s00405-007-0381-2
PMID:17610074
Abstract

The risk of leaving an iatrogenic foreign body in the bronchus, while using a reusable flexible suction catheter tube during rigid bronchoscopy is reported. A 6-year-old girl underwent rigid bronchoscopy to rule out foreign body inhalation as the possible cause of her unilateral pneumonia and lung collapse. While performing the bronchoscopy the distal end of the plastic suction tube was caught in the ventilation hole of the bronchoscope and was sheared from the main suction tube. This was later recovered from the right main bronchus while clearing the thick secretions. This potential complication occurs with use of reusable plastic suction catheters.

摘要

据报道,在硬质支气管镜检查期间使用可重复使用的柔性吸引导管时,有在支气管内遗留医源性异物的风险。一名6岁女孩接受了硬质支气管镜检查,以排除异物吸入作为其单侧肺炎和肺萎陷的可能原因。在进行支气管镜检查时,塑料吸引管的远端卡在了支气管镜的通气孔中,并从主吸引管上被剪断。后来在清除浓稠分泌物时,从右主支气管中找到了该剪断部分。使用可重复使用的塑料吸引导管会出现这种潜在并发症。

相似文献

1
Unusual complication of reusable suction catheter during rigid bronchoscopy.硬质支气管镜检查期间可重复使用吸引导管的罕见并发症。
Eur Arch Otorhinolaryngol. 2007 Dec;264(12):1509-11. doi: 10.1007/s00405-007-0381-2. Epub 2007 Jul 4.
2
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本文引用的文献

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Bronchial complication of a closed-tube endotracheal suction catheter.封闭式气管内吸引导管的支气管并发症
J Pediatr Surg. 2002 Oct;37(10):1483-4. doi: 10.1053/jpsu.2002.35422.
2
Bronchial perforation after closed-tube endotracheal suction.封闭式气管内吸引后支气管穿孔。
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An unusual cause of endotracheal tube obstruction.气管内导管梗阻的一种罕见原因。
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Incidence of colonization, nosocomial pneumonia, and mortality in critically ill patients using a Trach Care closed-suction system versus an open-suction system: prospective, randomized study.使用气管切开护理密闭式吸痰系统与开放式吸痰系统的重症患者的定植、医院获得性肺炎发生率及死亡率:前瞻性随机研究
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