经甲状腺峡部穿刺成功实施经皮气管切开术。
Successful percutaneous tracheostomy via puncture through the thyroid isthmus.
作者信息
Duann Chi-Wei, Hsieh Min-Shiau, Chen Pin-Tarng, Chou Hsiao-Ping, Huang Chien-Sheng
机构信息
Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital Taipei, Taiwan.
Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital Taipei, Taiwan ; Department of Surgery, National Yang-Ming University Hospital Yilan, Taiwan.
出版信息
Respirol Case Rep. 2014 Jun;2(2):57-60. doi: 10.1002/rcr2.48. Epub 2014 Feb 25.
Tracheostomy is one of the most frequently performed procedures in intensive care units. Bedside percutaneous tracheostomy has become an increasingly popular option to standard open tracheostomy. Several contraindications for percutaneous tracheostomy, including an enlarged thyroid isthmus, have been described. However, as experience with this technique has increased, most of the described contraindications appear to be relative rather than absolute, provided the procedure is performed by an experienced practitioner. Herein we present a case of an unavoidable direct puncture of the thyroid isthmus during a percutaneous tracheostomy. The procedure was performed smoothly, and no complications occurred.
气管切开术是重症监护病房中最常施行的手术之一。床边经皮气管切开术已成为标准开放性气管切开术越来越受欢迎的替代选择。经皮气管切开术有若干禁忌症，包括甲状腺峡部增大，这已被描述过。然而，随着对该技术经验的增加，只要由经验丰富的医生进行操作，大多数所述的禁忌症似乎是相对的而非绝对的。在此我们报告一例在经皮气管切开术中不可避免地直接穿刺甲状腺峡部的病例。手术顺利进行，未发生并发症。
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