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是否应避免对创伤患者进行不必要的操作?病例报告。

Do Avoid Unnecessary Procedure in A Trauma Patient? A Case Report.

作者信息

Torabi Mehdi

机构信息

Department of Emergency Medicine, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Bull Emerg Trauma. 2022 Apr;10(2):92-94. doi: 10.30476/BEAT.2021.89885.1238.

Abstract

Endotracheal intubation is more commonly performed in the right main bronchus; however, it may rarely be performed in the left side. A 52-years-old man was brought to the emergency department by emergency medical services (EMS) after multiple trauma injury. There was a decrease in the right lung's sound. Lung computed tomography (CT) scan revealed total pulmonary atelectasis. This scan was at the time that patient did not mention any recent history or complaint of pulmonary problems or diseases. In CT scan, we observed the white lung in the right side, the trachea which was deviated to the right, and the collapse-consolidation of the right lung was seen. The endotracheal tube image was observed in the left main bronchus which is a rare phenomenon. Decreasing of the right lung sound may not always be due to pneumothorax or hemothorax in trauma patients. In these patients, the rare phenomenon of left lung intubation should be considered as well. Left lung intubation may occur because of the lesion presence in the right lung.

摘要

气管插管更常插入右主支气管;然而,也很少会插入左侧。一名52岁男性在遭受多处创伤后被紧急医疗服务(EMS)送往急诊科。右肺呼吸音减弱。肺部计算机断层扫描(CT)显示全肺不张。此次扫描时患者未提及近期任何肺部问题或疾病的病史或症状。在CT扫描中,我们观察到右侧肺呈白色,气管向右偏移,右侧肺出现萎陷实变。气管插管影像位于左主支气管,这是一种罕见现象。创伤患者右肺呼吸音减弱不一定总是由于气胸或血胸。在这些患者中,也应考虑左肺插管这种罕见现象。左肺插管可能是由于右肺存在病变所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e6c/9008339/0ed91602ea95/bet-10-92-g001.jpg

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