Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Ann Thorac Surg. 2011 Dec;92(6):2248-50. doi: 10.1016/j.athoracsur.2011.05.113.
A 19-year-old man sustained multiple injuries during a motorcycle accident. A computed tomographic scan revealed that the trachea was completely transected, and the endotracheal tube did not reach the distal stump. Extracorporeal membrane oxygenation was used to maintain oxygenation and avoid mediastinal emphysema. Tracheal anastomosis through a right thoracotomy was planned initially, but prior to the operation, extracorporeal membrane oxygenation flow and respiratory condition deteriorated, with evidence of oxygen desaturation. An abdominal compartment syndrome was diagnosed, and open abdominal management was performed. Therefore, the patient had to undergo tracheal anastomosis through a median sternotomy in the supine position. The laparotomy was closed, and the patient was discharged without respiratory complications.
一名 19 岁男子在一场摩托车事故中多处受伤。计算机断层扫描显示气管完全断裂，气管插管未到达远端残端。体外膜氧合用于维持氧合并避免纵隔气肿。最初计划通过右侧开胸进行气管吻合术，但在手术前，体外膜氧合流量和呼吸状况恶化，出现氧饱和度下降的证据。诊断为腹腔间室综合征，并进行了开腹处理。因此，患者不得不仰卧位通过正中胸骨切开术进行气管吻合术。关闭剖腹术，患者出院时无呼吸并发症。
