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EZ-Blocker 在 Kartagener 综合征合并气管支气管患者单肺通气中的应用:病例报告

The EZ-Blocker® for one-lung ventilation in a patient with Kartagener syndrome and tracheal bronchus -a case report.

机构信息

Department of Anesthesia and Pain Medicine, Pusan National University School of Medicine, Yangsan, Korea.

Department of Anesthesia and Pain Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.

出版信息

Korean J Anesthesiol. 2023 Feb;76(1):67-71. doi: 10.4097/kja.22198. Epub 2022 Jul 25.

Abstract

BACKGROUND

The tracheal bronchus in Kartagener syndrome is a rare case that may cause difficulty in one-lung ventilation (OLV). Here we reported a case of successful OLV using bronchial blocker in a patient with tracheal bronchus and Kartagener syndrome (KS).

CASE

A 66-year-old female patient with Kartagener syndrome was admitted for left-side diaphragmatic plication. The patient's preoperative computed tomography image showed a tracheal bronchus of the apical segment in the right upper lobe. The patient received epidural analgesia and general anesthesia through total intravenous anesthesia. An EZ-Blocker® (Teleflex Life Sciences Ltd., Ireland) was used to perform OLV.

CONCLUSIONS

OLV through an EZ-Blocker® can be successfully performed in tracheal bronchus patients with Kartagener syndrome without side effects.

摘要

背景

Kartagener 综合征中的气管支气管是一种罕见情况,可能导致单肺通气(OLV)困难。在此,我们报告了一例使用支气管阻塞器在气管支气管和 Kartagener 综合征(KS)患者中成功进行 OLV 的病例。

病例

一名 66 岁女性 Kartagener 综合征患者因左侧膈肌折叠术入院。患者术前 CT 图像显示右上叶尖段有气管支气管。患者接受硬膜外镇痛和全静脉麻醉下的全身麻醉。使用 EZ-Blocker®(Teleflex Life Sciences Ltd.,爱尔兰)进行 OLV。

结论

通过 EZ-Blocker®在 Kartagener 综合征患者的气管支气管中成功进行 OLV ,且无副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/9902185/0fd01de82533/kja-22198f1.jpg

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