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通气支气管镜检查中张力性气胸导致心跳骤停——1 例报告。

Cardiac arrest induced by tension pneumothorax during ventilating bronchoscopy -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2010 Aug;59(2):123-6. doi: 10.4097/kjae.2010.59.2.123. Epub 2010 Aug 20.

DOI:10.4097/kjae.2010.59.2.123
PMID:20740219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2926429/
Abstract

Tension pneumothorax during ventilating bronchoscopy for foreign body removal is a rare but life-threatening complication. The authors present a case of cardiac arrest caused by tension pneumothorax in a 9-month-old girl who underwent ventilating bronchoscopy for foreign body (peanut) removal. Tension pneumothorax was due to tracheobronchial lacerations caused by a bronchoscope. The patient was successfully resuscitated by cardiopulmonary resuscitation and chest tube insertion. The airway injury was effectively repaired by thoracotomy under extracorporeal membrane oxygenation.

摘要

通气支气管镜取异物时发生张力性气胸是一种罕见但危及生命的并发症。作者报告了一例 9 个月大的女孩因通气支气管镜取异物（花生）导致张力性气胸引起心脏骤停的病例。张力性气胸是由于支气管镜引起的气管支气管裂伤所致。患者经心肺复苏和胸腔引流管插入成功复苏。体外膜肺氧合下经开胸手术有效修复了气道损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f81/2926429/5b6da8dc204d/kjae-59-123-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f81/2926429/747518c7f741/kjae-59-123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f81/2926429/9080f9ba00f7/kjae-59-123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f81/2926429/ebcb959fdff9/kjae-59-123-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f81/2926429/a8f77db1bbed/kjae-59-123-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f81/2926429/5b6da8dc204d/kjae-59-123-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f81/2926429/747518c7f741/kjae-59-123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f81/2926429/9080f9ba00f7/kjae-59-123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f81/2926429/ebcb959fdff9/kjae-59-123-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f81/2926429/a8f77db1bbed/kjae-59-123-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f81/2926429/5b6da8dc204d/kjae-59-123-g005.jpg

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引用本文的文献

1
Tension Pneumothorax During Rigid Bronchoscopy for Chronic Foreign Body Removal in a Child: A Case Report.小儿硬质支气管镜下取出慢性异物时发生张力性气胸：一例报告
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本文引用的文献

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Extracorporeal life support.体外生命支持
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