Interventional Pulmonology Unit, La Maddalena Cancer Center, Palermo, Italy.
Ann Thorac Surg. 2012 Sep;94(3):1001-3. doi: 10.1016/j.athoracsur.2011.12.080.
A 59-year-old woman was referred for a diagnostic video thoracoscopy under general anesthesia. At the end of the procedure, the patient presented with subcutaneous emphysema and cyanosis, abdominal distension, and bradycardia. A rigid bronchoscopy showed a longitudinal laceration in the pars membranacea of the trachea. A tracheal silicon stent was positioned on an emergency basis. She was intubated, positioning the tracheal tube cuff distal of the stent under bronchoscopic vision. A computed tomographic scan performed immediately after the procedure showed left pneumothorax, pneumoperitoneum, pneumopericardium, and diffuse subcutaneous emphysema. The subsequent course of the patient was uneventful. The patient was discharged home on postoperative day 4. After 1 year, the stent was removed with the evidence of complete trachel healing.
一位 59 岁女性在全身麻醉下接受诊断性胸腔镜检查。在手术结束时，患者出现皮下气肿和发绀、腹胀和心动过缓。硬质支气管镜检查显示气管膜部有纵向裂伤。紧急情况下放置了气管硅酮支架。在支气管镜下，将患者气管插管，使气管导管套囊位于支架远端。术后立即进行的计算机断层扫描显示左侧气胸、气腹、心包积气和弥漫性皮下气肿。患者随后的病程平稳。术后第 4 天，患者出院回家。1 年后，支架取出，显示完全愈合。
