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紧急气管插管后牙齿误吸。

Tooth aspiration following emergency endotracheal intubation.

作者信息

Dhadge Nagesh D

机构信息

13, Trailokya, Prashant Society, Paud Road, Pune 411038, India.

出版信息

Respir Med Case Rep. 2016 May 7;18:85-6. doi: 10.1016/j.rmcr.2016.05.002. eCollection 2016.

Abstract

Tooth aspiration in adults during endotracheal intubation is very rare. There are several risk factors for this rare event such as old age, loose teeth, difficult intubation etc. which predispose patients for tooth aspiration in tracheobronchial tree in emergent endotracheal intubation. Although extraction of aspirated tooth with flexible bronchoscopy is a difficult and complex intervention, it is still preferred over rigid scopes due to number of advantages. This case underlines that appropriate precautions should be taken to prevent a potentially serious medico-legal complication during airway management in emergent circumstances. Also it shows how flexible broncoscope can be used effectively for extraction of foreign body without major complications.

摘要

成人气管插管期间牙齿误吸非常罕见。导致这一罕见事件的风险因素有多种,如高龄、牙齿松动、插管困难等,这些因素使患者在紧急气管插管时易发生牙齿误吸至气管支气管树。尽管使用可弯曲支气管镜取出误吸牙齿是一项困难且复杂的操作,但由于其诸多优点,仍比硬质支气管镜更受青睐。该病例强调,在紧急情况下气道管理过程中,应采取适当预防措施以防止潜在的严重医疗法律并发症。此外,它还展示了可弯曲支气管镜如何能有效用于异物取出且无重大并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7be/4901180/b88e3d16fe1a/gr1.jpg

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