Division of Thoracic Surgery, East Carolina University, East Carolina Heart Institute at East Carolina University, Greenville, North Carolina.
Division of Thoracic Surgery, East Carolina University, East Carolina Heart Institute at East Carolina University, Greenville, North Carolina.
Ann Thorac Surg. 2022 Jul;114(1):e39-e41. doi: 10.1016/j.athoracsur.2021.08.076. Epub 2021 Oct 8.
A male patient presented with a gunshot wound superior to his left scapula and difficulty breathing. En route to the emergency department, he rapidly became unresponsive, culminating in a cricothyroidotomy by paramedics. Oxygen saturation was 70% on arrival, and a tracheobronchial injury was suspected. In the operating room, a complete transection of the mid trachea was found and repaired. Postoperatively, the patient had acute respiratory distress syndrome. He was placed on extracorporeal membrane oxygenation and was eventually decannulated on postoperative day 12. The need for immediate identification of airway inadequacy, despite appropriate interventions, is underscored by this case report.
一位男性患者因左肩胛骨上方的枪伤和呼吸困难就诊。在送往急诊部的途中，他迅速失去反应，最终由护理人员进行了环甲切开术。到达时的氧饱和度为 70%，怀疑存在气管支气管损伤。在手术室中，发现并修复了中气管的完全横断。术后，患者出现急性呼吸窘迫综合征。他被置于体外膜氧合机上，并最终在术后第 12 天拔管。尽管进行了适当的干预，但本病例报告强调了需要立即识别气道不足的情况。
