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EZ封堵器在一名咯血患者的肺隔离和管理中的成功应用。

Successful use of an EZ-blocker for lung isolation and management in a hemoptysis patient.

作者信息

Son Joo Hyung, Kim Do Hyung, Lee Sung Kwang

机构信息

Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Yangsan, Gyoungnam, South Korea.

出版信息

Ann Transl Med. 2019 Nov;7(22):701. doi: 10.21037/atm.2019.09.74.

DOI:10.21037/atm.2019.09.74
PMID:31930102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6944563/
Abstract

When massive hemoptysis develops suddenly, patients typically die due to hypovolemia or airway obstruction. Intubation, endobronchial blocking, and elimination of blood clots are urgently required. However, existing double-lumen tubes and single endobronchial balloon systems are inadequate. We herein report successful EZ-blocker-mediated one-lung ventilation of a patient with a massive hemoptysis who required emergency life-saving surgery.

摘要

当突然发生大量咯血时,患者通常因低血容量或气道阻塞而死亡。紧急需要进行插管、支气管内封堵和清除血凝块。然而,现有的双腔管和单支气管内球囊系统并不足够。我们在此报告了一例使用EZ封堵器成功实现单肺通气的大量咯血患者,该患者需要进行紧急挽救生命的手术。

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本文引用的文献

1
The EZ-blocker for one-lung ventilation in patients undergoing thoracic surgery: clinical applications and experience in 100 cases in a routine clinical setting.EZ 阻滞器在胸外科手术单肺通气患者中的应用:100例常规临床病例的临床应用与经验
J Cardiothorac Surg. 2018 Jun 25;13(1):77. doi: 10.1186/s13019-018-0767-9.
2
An initial experience with an Extraluminal EZ-Blocker : A new alternative for 1-lung ventilation in pediatric patients.体外EZ阻断器的初步经验:小儿患者单肺通气的新选择。
Paediatr Anaesth. 2018 Apr;28(4):347-351. doi: 10.1111/pan.13342. Epub 2018 Feb 11.
3
Novel Bronchoscopic Management of Airway Bleeding With Absorbable Gelatin and Thrombin Slurry.可吸收明胶与凝血酶混悬液用于气道出血的新型支气管镜治疗
J Bronchology Interv Pulmonol. 2018 Jul;25(3):204-211. doi: 10.1097/LBR.0000000000000470.
4
[Haemoptysis : Intensive care management of pulmonary hemorrhage].咯血:肺出血的重症监护管理
Internist (Berl). 2017 Mar;58(3):218-225. doi: 10.1007/s00108-017-0190-7.
5
EZ-Blocker and One-Lung Ventilation via Tracheostomy.EZ 封堵器与经气管切开术的单肺通气
J Cardiothorac Vasc Anesth. 2015;29(3):e32-3. doi: 10.1053/j.jvca.2015.02.005. Epub 2015 Feb 7.
6
Modified technique of endobronchial balloon tamponade for persistent hemoptysis.用于持续性咯血的改良支气管内球囊填塞技术。
J Bronchology Interv Pulmonol. 2014 Oct;21(4):361-5. doi: 10.1097/LBR.0000000000000102.
7
Double-lumen endobronchial tube and alternatives in massive hemoptysis: How do you want to save lives?双腔支气管导管及在大量咯血中的替代方案:你想如何挽救生命?
J Emerg Trauma Shock. 2011 Jul;4(3):438. doi: 10.4103/0974-2700.83895.
8
Bronchoscopy-guided topical hemostatic tamponade therapy for the management of life-threatening hemoptysis.支气管镜引导下局部止血填塞治疗危及生命的咯血。
Chest. 2005 Jun;127(6):2113-8. doi: 10.1378/chest.127.6.2113.
9
Three years experience with a new balloon catheter for the management of haemoptysis.一种用于治疗咯血的新型球囊导管的三年使用经验。
Eur Respir J. 1994 Nov;7(11):2033-7.