Department of Cardiothoracic Surgery, Royal North Shore Hospital, University of Sydney, Sydney, Australia.
Department of Cardiothoracic Surgery, Royal North Shore Hospital, University of Sydney, Sydney, Australia.
Ann Thorac Surg. 2014 Jan;97(1):338-40. doi: 10.1016/j.athoracsur.2013.04.126.
Acute tracheal injury secondary to intubation can present with varying degrees of severity. Onset of symptoms occur hours or even days after the initial injury. A 34-year-old woman required surgery for a large tracheal tear after emergency intubation. The inability to adequately ventilate combined with secondary aspiration injury required that the patient be placed on extracorporeal membrane oxygenation before undergoing surgery. This case demonstrates the use of extracorporeal membrane oxygenation to manage a patient awaiting surgery for severe tracheal tears.
气管插管后导致的急性气管损伤可表现出不同严重程度。症状出现的时间可能在最初损伤后的数小时甚至数天。一名 34 岁女性在紧急插管后因巨大气管撕裂而行手术治疗。因无法充分通气和继发吸入性损伤,该患者在手术前需要接受体外膜氧合治疗。该病例展示了体外膜氧合在等待严重气管撕裂手术的患者管理中的应用。