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医源性气管破裂:牛心包补片修复且无瓣片加强

Iatrogenic tracheal rupture: bovine pericardial patch repair without flap reinforcement.

作者信息

Carter Jacob J, Evans David, Shah Pallav, Ura Masashi

机构信息

Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Brisbane, Australia.

出版信息

Interact Cardiovasc Thorac Surg. 2012 Apr;14(4):502-3. doi: 10.1093/icvts/ivr132. Epub 2012 Jan 6.

Abstract

We describe a case of an extensive post-intubation membranous tracheal rupture in a 67-year old patient after emergency intubation. This was managed surgically by bovine pericardial patch repair. Other cases of autologous and bovine patch repair of tracheal lacerations exist in the literature, and we believe this is the first report of successful bovine patch repair without accessory autologous tissue reinforcement. This technique may be used in surgically managed cases of membranous tracheal rupture where primary repair is unsuitable, thereby reducing procedural complexity.

摘要

我们描述了一例67岁患者在紧急插管后发生广泛的插管后膜性气管破裂的病例。通过牛心包补片修复进行手术治疗。文献中存在其他自体和牛补片修复气管撕裂伤的病例,我们认为这是首例无需自体组织辅助强化而成功进行牛补片修复的报告。该技术可用于手术治疗原发性修复不适用的膜性气管破裂病例,从而降低手术复杂性。

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Tracheal rupture after endotracheal intubation: a literature systematic review.气管插管后气管破裂:一项文献系统综述
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Reconstruction of a tracheobronchial tree disruption with bovine pericardium.
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Spontaneous tracheal rupture: a case report.自发性气管破裂:一例报告。
Acta Chir Belg. 2004 Apr;104(2):204-8. doi: 10.1080/00015458.2004.11679537.
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