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[气管切开患者发生无名动脉瘘导致大量咯血的一例报告:应采取何种策略?]

[One case report of tracheo-innominate artery fistula responsible of massive haemoptysis in a tracheotomized patient: which strategy to adopt?].

作者信息

Lacroix G, Meaudre E, Prunet B, Bordes J, Allanic L, Kaiser E

机构信息

Département d'anesthésie-réanimation-urgences, hôpital d'instruction des Armées-Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France.

出版信息

Ann Fr Anesth Reanim. 2009 Nov;28(11):980-2. doi: 10.1016/j.annfar.2009.10.010. Epub 2009 Nov 24.

Abstract

The tracheo-innominate artery fistula is a rare but life-threatening complication of the tracheotomy. Its care management requires a rapid airway control to allow haemostasis by compression and ventilation. The haemostasis must be immediate and two techniques exist: surgery opencast (sternotomy) or interventional radiology. The choice between the two depends largely on the technical platform available. Our case report describes a tracheo-innomninate artery fistula surgically managed with success. The patient carried an anatomic variant, the two carotids come from innominate artery.

摘要

气管无名动脉瘘是气管切开术罕见但危及生命的并发症。其护理管理需要迅速控制气道,以便通过压迫和通气来止血。止血必须立即进行,有两种技术:开放式手术(胸骨切开术)或介入放射学。两者之间的选择在很大程度上取决于可用的技术平台。我们的病例报告描述了一例成功通过手术治疗的气管无名动脉瘘。该患者存在解剖变异,两条颈动脉均来自无名动脉。

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