Hatta T, Matsuda S, Kurisu S, Ooyabu H, Tachibana S, Kita Y, Oki K, Okada M, Uematsu M, Kiyonari N
Department of Surgery, Hyogo prefectural Awaji Hospital.
Kyobu Geka. 1991 Jul;44(7):549-51.
A 68-year-old woman underwent a right upper lobectomy for lung cancer. After resection, we noticed the left main bronchial rupture due to bronchocath tube (polyvinyl chloride double lumen tube). The lesion of the rupture was repaired by interrupted sutures with 4-0 prolene. Subsequent course of the patient was uneventful. Tracheobronchial rupture is rare complication of intubation with polyvinyl chloride double lumen tube. There are 6 cases of this complication last five years in Japan. The cause and prevention of this complications are described. It is important to use an adequate tube size, to prevent malposition of the tube and overinflation of the bronchial balloon.
一名68岁女性因肺癌接受了右上叶切除术。切除术后,我们发现支气管导管(聚氯乙烯双腔管)导致左主支气管破裂。破裂处用4-0普理灵间断缝合修复。患者随后的病程顺利。气管支气管破裂是聚氯乙烯双腔管插管罕见的并发症。在日本,过去五年中有6例这种并发症。本文描述了该并发症的原因及预防措施。使用合适的导管尺寸、防止导管位置不当以及支气管球囊过度充气很重要。