Hartwein J, Kessler G
Univ.-HNO-Klinik Hamburg.
Laryngorhinootologie. 1989 Mar;68(3):186-7. doi: 10.1055/s-2007-998313.
A case of obstruction of the upper respiratory tract is reported, in which an intubation or insufflation by rigid tracheobronchoscopes was not possible. Due to the anatomical situation after multiple operations and irradiation, coniotomy could not be performed. Blind puncture of the trachea with subsequent High Frequency Jet Ventilation has proved successful as an emergency approach to maintain respiratory function.
报告了一例上呼吸道梗阻病例,在此病例中无法使用硬质气管支气管镜进行插管或吹入操作。由于多次手术和放疗后的解剖情况,无法进行环甲膜切开术。事实证明,气管盲目穿刺并随后进行高频喷射通气作为维持呼吸功能的紧急方法是成功的。