在院内转运过程中发生气压伤 - 1 例报告。 - Suppr

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

Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S218-21. doi: 10.4097/kjae.2010.59.S.S218. Epub 2010 Dec 31.

A 74-year-old male patient receiving ventilatory support due to aspiration pneumonia developed bilateral pneumothorax, pneumopericardium, pneumomediastinum, pneumo-retroperitoneum, and subcutaneous emphysema, after manual ventilation while being transferred from the intensive care unit (ICU) to the operating room (OR). These complications were assumed to be secondary to inappropriate manual ventilation of the intubated patient. In addition, it is likely that the possible migration of an already marginally acceptable endotracheal tube (ETT) position during transport was the cause of these complications. Finally, aggravation of a latent pneumothorax might have contributed to these complications.

一位 74 岁男性患者因吸入性肺炎接受通气支持，在从重症监护病房（ICU）转往手术室（OR）的过程中，由于人工通气导致双侧气胸、心包积气、纵隔气肿、腹膜后积气和皮下气肿。这些并发症被认为是由于对插管患者进行不当的人工通气引起的。此外，在转运过程中，已经处于临界可接受位置的气管内导管（ETT）可能发生移位，这很可能是导致这些并发症的原因。最后，潜在气胸的加重也可能促成了这些并发症的发生。