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一名患有深部颈部感染的患者在气管切开术期间发生双侧气胸。

Occurrence of bilateral pneumothorax during tracheostomy in a patient with deep neck infection.

作者信息

Kang Sang-Hoon, Won Yu-Jin, Chang Jung Hyun

机构信息

Department of Oral and Maxillofacial Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea.

Department of Otorhinolaryngology, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea.

出版信息

J Dent Anesth Pain Med. 2016 Jun;16(2):141-145. doi: 10.17245/jdapm.2016.16.2.141. Epub 2016 Jun 30.

DOI:10.17245/jdapm.2016.16.2.141
PMID:28879308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5564084/
Abstract

Infection that progresses to deep areas of the neck requires appropriate assessment of the airway, and securing of the airway is critical in patients with deep neck infection. In the patient in our case report, bilateral pneumothorax occurred while performing tracheostomy to the airways of a patient with deep neck infection, and therefore, this paper details the method used to secure the airway of patients with deep neck infection.

摘要

进展至颈部深部区域的感染需要对气道进行适当评估，对于深部颈部感染患者，确保气道安全至关重要。在我们病例报告中的患者，在为一名深部颈部感染患者的气道进行气管切开术时发生了双侧气胸，因此，本文详细介绍了确保深部颈部感染患者气道安全的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8569/5564084/d67b65c1bcb2/jdapm-16-141-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8569/5564084/7fca752d7c32/jdapm-16-141-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8569/5564084/4c9099687a3b/jdapm-16-141-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8569/5564084/64eb6d77d301/jdapm-16-141-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8569/5564084/cc9eac2d1b98/jdapm-16-141-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8569/5564084/d67b65c1bcb2/jdapm-16-141-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8569/5564084/7fca752d7c32/jdapm-16-141-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8569/5564084/4c9099687a3b/jdapm-16-141-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8569/5564084/64eb6d77d301/jdapm-16-141-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8569/5564084/cc9eac2d1b98/jdapm-16-141-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8569/5564084/d67b65c1bcb2/jdapm-16-141-g005.jpg

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本文引用的文献

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Endotracheal intubation by inexperienced trainees using the Clarus Video System: learning curve and orodental trauma perspectives.经验不足的学员使用Clarus视频系统进行气管插管：学习曲线和口腔牙齿创伤视角
J Dent Anesth Pain Med. 2015 Dec;15(4):207-212. doi: 10.17245/jdapm.2015.15.4.207. Epub 2015 Dec 31.
2
Blind nasal intubation as an alternative to difficult intubation approaches.盲探鼻腔插管作为困难插管方法的替代方案。
J Dent Anesth Pain Med. 2015 Sep;15(3):181-184. doi: 10.17245/jdapm.2015.15.3.181. Epub 2015 Sep 30.
3
Difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope.
使用插管喉罩气道联合纤维支气管镜进行困难插管
J Dent Anesth Pain Med. 2015 Sep;15(3):167-171. doi: 10.17245/jdapm.2015.15.3.167. Epub 2015 Sep 30.
4
[Ultrasound-guided retrograde emergency intubation : Life-saving management of a bleeding airway emergency with unclear anatomical situation].[超声引导下逆行紧急插管：解剖情况不明的出血性气道紧急情况的挽救生命管理]
Anaesthesist. 2015 Dec;64(12):948-952. doi: 10.1007/s00101-015-0102-y. Epub 2015 Oct 19.
5
Emergent Awake tracheostomy--The five-year experience at an urban tertiary care center.急诊清醒气管切开术——一家城市三级医疗中心的五年经验
Laryngoscope. 2015 Nov;125(11):2476-9. doi: 10.1002/lary.25348. Epub 2015 Jun 24.
6
Management and maintenance of the airway in cervical necrotising fasciitis: a retrospective analysis of 15 cases.颈部坏死性筋膜炎气道的管理与维护：15例回顾性分析
Br J Oral Maxillofac Surg. 2015 Sep;53(7):642-6. doi: 10.1016/j.bjoms.2015.04.017. Epub 2015 May 14.
7
Bilateral pneumothoraces in a patient with laryngeal carcinoma following tracheostomy for stridor.一名因喘鸣行气管切开术的喉癌患者发生双侧气胸。
BMJ Case Rep. 2014 Sep 2;2014:bcr2013202848. doi: 10.1136/bcr-2013-202848.
8
Neurologic toxicity of lidocaine during awake intubation in a patient with tongue base abscess. Case report.局麻药（利多卡因）在清醒经鼻气管插管时致舌根部脓肿患者的神经毒性：病例报告
Am J Otolaryngol. 2014 Jan-Feb;35(1):62-5. doi: 10.1016/j.amjoto.2013.08.009. Epub 2013 Oct 10.
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Elective surgical cricothyroidotomy in oral and maxillofacial surgery.口腔颌面外科择期手术环状软骨切开术
Br J Oral Maxillofac Surg. 2013 Dec;51(8):779-82. doi: 10.1016/j.bjoms.2013.04.002. Epub 2013 May 11.
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