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未被识别的钝性气管创伤伴大量纵隔气肿和张力性气胸。

Unrecognized blunt tracheal trauma with massive pneumomediastinum and tension pneumothorax.

作者信息

Shetty Nanda, Krishna H M, Varghese Elsa, Subhashree J, Gupta Arushi

机构信息

Department of Anaesthesiology, Kasturba Medical College, Manipal, Karnataka, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2011 Jul;27(3):406-8. doi: 10.4103/0970-9185.83696.

DOI:10.4103/0970-9185.83696
PMID:21897522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3161476/
Abstract

Blunt neck trauma with an associated laryngotracheal injury is rare. We report a patient with blunt neck trauma who came to the emergency room and was sent to ward without realizing the seriousness of the situation. He presented later with respiratory distress and an anesthesiologist was called in for emergency airway management. Airway management in such a situation is described in this report.

摘要

钝性颈部创伤合并喉气管损伤较为罕见。我们报告一例钝性颈部创伤患者，该患者来到急诊室后未意识到病情严重性便被送入病房。他随后出现呼吸窘迫，遂请麻醉医生进行紧急气道管理。本报告描述了这种情况下的气道管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2730/3161476/38ee19699b60/JOACP-27-406-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2730/3161476/14117f1cfdbe/JOACP-27-406-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2730/3161476/b2b7df300e76/JOACP-27-406-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2730/3161476/3d05838b9f79/JOACP-27-406-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2730/3161476/38ee19699b60/JOACP-27-406-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2730/3161476/14117f1cfdbe/JOACP-27-406-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2730/3161476/b2b7df300e76/JOACP-27-406-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2730/3161476/3d05838b9f79/JOACP-27-406-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2730/3161476/38ee19699b60/JOACP-27-406-g004.jpg

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本文引用的文献

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Early management of the traumatized airway.创伤气道的早期处理
Anesthesiol Clin. 2007 Mar;25(1):1-11, vii. doi: 10.1016/j.anclin.2006.11.001.
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Management dilemmas in laryngeal trauma.喉外伤的管理困境
J Laryngol Otol. 2004 May;118(5):325-8. doi: 10.1258/002221504323086471.
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Initial evaluation and management of upper airway injuries in trauma patients.
J Clin Anesth. 1991 Mar-Apr;3(2):91-8. doi: 10.1016/0952-8180(91)90003-6.