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创伤性气管支气管撕裂导致气管完全切除:麻醉管理的挑战

Traumatic Tracheobronchial Laceration Causing Complete Tracheal Resection: Challenges of Anesthetic Management.

作者信息

Khan Sabina A, Ekeoduru Rhashedah A, Tariq Sarah

机构信息

From the Department of Anesthesiology, University of Texas Health Science Center at Houston, Houston, Texas.

出版信息

A A Pract. 2018 Aug 15;11(4):109-111. doi: 10.1213/XAA.0000000000000756.

Abstract

We report the case of a 9-year-old girl who sustained blunt trauma to the chest and presented for emergent repair of a complete tracheobronchial laceration. Tracheobronchial laceration is potentially life threatening. While conservative management has been described for simple tears, more complex injuries require surgical repair. We discuss the anesthetic challenges, airway management, and ventilation options for surgical repair in a child with a complex laceration involving the tracheobronchial tree.

摘要

我们报告了一名9岁女孩的病例,她胸部遭受钝性创伤,前来急诊修复完全性气管支气管裂伤。气管支气管裂伤有潜在生命危险。虽然对于简单撕裂伤已有保守治疗的描述,但更复杂的损伤需要手术修复。我们讨论了一名患有涉及气管支气管树的复杂裂伤儿童进行手术修复时的麻醉挑战、气道管理和通气选择。

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