Schramm René, Abugameh Ahmad, Tscholl Dietmar, Schäfers Hans-Joachim
Department of Thoracic and Cardiovascular Surgery, University Hospital Homburg/Saar, Homburg/Saar, Germany.
Ann Thorac Surg. 2009 Jul;88(1):284-7. doi: 10.1016/j.athoracsur.2008.12.038.
A 76-year-old woman underwent mitral valve repair and coronary artery bypass grafting. Intrabronchial bleeding occurred after inflation of the balloon tip of the pulmonary artery catheter in the wedge position. A Forgaty catheter was introduced into the trachea parallel to the endotracheal tube and advanced under bronchoscopic vision into the intermediate bronchus. Tamponade of the bleeding was achieved by by filling the Forgaty balloon tip with saline. Weaning from extracorporeal circulation was uneventful. On the first postoperative day, the Forgaty catheter was removed and bronchial lavage of the middle and lower lobe was performed without any additional bleeding complication.
一名76岁女性接受了二尖瓣修复术和冠状动脉搭桥术。肺动脉导管球囊尖端在楔入位置充气后发生支气管内出血。将一根福格蒂导管经气管与气管内导管平行插入，并在支气管镜直视下推进至中间支气管。通过向福格蒂导管球囊尖端注入生理盐水实现了出血部位的压迫止血。体外循环撤离过程顺利。术后第一天，取出福格蒂导管，并对中叶和下叶进行支气管灌洗，未出现任何额外的出血并发症。
