在开放性气管造口术中发现覆盖于气管之上的罕见异常动脉。
Discovery of a rare aberrant artery overlying trachea during open tracheostomy.
机构信息
Anaesthesia, Yan Chai Hospital, Hong Kong, Hong Kong
Anaesthesia, Yan Chai Hospital, Hong Kong, Hong Kong.
出版信息
BMJ Case Rep. 2022 Jul 29;15(7):e251123. doi: 10.1136/bcr-2022-251123.
Abstract
Tracheostomy is a common surgical procedure for securing a patent airway. Anatomical variations of major vessels overlying the trachea may pose significant bleeding risk during the procedure. Hence, thorough preoperative assessment of the neck and surgeon's intraoperative vigilance are essential. Open tracheostomy is a safer option than percutaneous dilatational tracheostomy. Extra caution with stoma wound care and change of tracheostomy tube are necessary postoperatively if any major vessel is detected in close proximity with the tracheal stoma.
摘要
气管切开术是一种常见的外科手术，用于确保气道通畅。气管上方大血管的解剖变异可能会在手术过程中带来显著的出血风险。因此，术前对颈部进行彻底评估以及术者术中保持警惕至关重要。与经皮扩张气管切开术相比，开放性气管切开术是一种更安全的选择。如果发现任何大血管紧邻气管造口，术后需要格外小心地护理造口伤口并更换气管切开管。
相似文献
1
Discovery of a rare aberrant artery overlying trachea during open tracheostomy.在开放性气管造口术中发现覆盖于气管之上的罕见异常动脉。
BMJ Case Rep. 2022 Jul 29;15(7):e251123. doi: 10.1136/bcr-2022-251123.
2
Evaluating the neck for percutaneous dilatational tracheostomy.评估颈部以便进行经皮扩张气管切开术。
J Craniomaxillofac Surg. 2000 Dec;28(6):336-42. doi: 10.1054/jcms.2000.0170.
3
[Application value of color Doppler ultrasound-guided percutaneous dilational tracheostomy with dilatation forceps in patients with head and neck burns complicated with upper respiratory tract obstruction].[彩色多普勒超声引导下用扩张钳经皮扩张气管切开术在头颈部烧伤合并上呼吸道梗阻患者中的应用价值]
Zhonghua Shao Shang Za Zhi. 2019 May 20;35(5):388-391. doi: 10.3760/cma.j.issn.1009-2587.2019.05.012.
4
Child requiring tracheostomy for removal of an airway foreign body at the tracheal bifurcation.因气道分叉处异物取出而行气管切开术的患儿。
BMJ Case Rep. 2022 Jul 14;15(7):e250399. doi: 10.1136/bcr-2022-250399.
5
Percutaneous dilatational tracheostomy in the ICU: optimal organization, low complication rates, and description of a new complication.重症监护病房中的经皮扩张气管切开术：优化组织、低并发症发生率及一种新并发症的描述
Chest. 2003 May;123(5):1595-602. doi: 10.1378/chest.123.5.1595.
6
Percutaneous techniques versus surgical techniques for tracheostomy.经皮气管切开术与外科气管切开术的比较
Cochrane Database Syst Rev. 2016 Jul 20;7(7):CD008045. doi: 10.1002/14651858.CD008045.pub2.
7
Percutaneous dilatational tracheostomy is as safe as open tracheostomy.经皮扩张气管切开术与开放性气管切开术一样安全。
Am Surg. 2002 Jan;68(1):92-4.
8
Real-time ultrasound-guided percutaneous dilatational tracheostomy: a feasibility study.实时超声引导经皮扩张气管切开术：一项可行性研究。
Crit Care. 2011;15(1):R67. doi: 10.1186/cc10047. Epub 2011 Feb 22.
9
[Percutaneous dilatating tracheostomy in intensive-care patients: technique, indications and complications].[重症监护患者的经皮扩张气管切开术：技术、适应证及并发症]
Ned Tijdschr Geneeskd. 2003 Nov 29;147(48):2370-4.
10
Tracheal metallic hybrid stent removal via tracheostomy: an unconventional approach.经气管切开术取出气管金属杂交支架：一种非常规方法。
BMJ Case Rep. 2024 May 28;17(5):e258861. doi: 10.1136/bcr-2023-258861.
本文引用的文献
1
Prevalence of major vessels anterior to the trachea at sites of potential front-of-neck emergency airway access in adults.成人潜在颈部前紧急气道入路部位气管前大血管的发生率。
Br J Anaesth. 2018 Nov;121(5):1166-1172. doi: 10.1016/j.bja.2018.07.013. Epub 2018 Aug 22.
2
Rare anatomical variation of the brachiocephalic trunk encountered in tracheostomy.气管切开术中遇到的头臂干罕见解剖变异。
Br J Oral Maxillofac Surg. 2017 Apr;55(3):312-313. doi: 10.1016/j.bjoms.2016.09.012. Epub 2016 Oct 4.
3
The aberrant right subclavian artery (arteria lusoria): the morphological and clinical aspects of one of the most important variations--a systematic study of 141 reports.迷走右锁骨下动脉（lusoria动脉）：最重要变异之一的形态学和临床方面——对141篇报告的系统研究
ScientificWorldJournal. 2014;2014:292734. doi: 10.1155/2014/292734. Epub 2014 Jul 1.
4
Protection of high-riding aberrant innominate artery during open tracheotomy.开放性气管切开术中高位异常无名动脉的保护
J Laryngol Otol. 2010 Aug;124(8):892-5. doi: 10.1017/S0022215110000836. Epub 2010 Apr 19.
5
Central nervous system toxicity with a 1 ml lidocaine injection in the aberrant carotid artery overlying the trachea.在覆盖气管的异常颈动脉中注射1毫升利多卡因导致中枢神经系统毒性。
Acta Anaesthesiol Scand. 2008 Nov;52(10):1436. doi: 10.1111/j.1399-6576.2008.01776.x.
6
Mortality from percutaneous dilatational tracheostomy. A report of three cases.经皮扩张气管切开术导致的死亡。三例报告。
Anaesthesia. 2005 May;60(5):490-5. doi: 10.1111/j.1365-2044.2005.04137.x.
7
Anatomy and physiology of tracheostomy.气管切开术的解剖学与生理学
Respir Care. 2005 Apr;50(4):476-82.
8
High-located aberrant innominate artery: an unusual cause of serious hemorrhage of percutaneous tracheotomy.高位异常无名动脉：经皮气管切开严重出血的罕见原因。
Am J Otolaryngol. 2004 Sep-Oct;25(5):368-9. doi: 10.1016/j.amjoto.2004.04.007.
9
Tracheostomy reveals a rare aberrant right subclavian artery; a case report.气管切开术发现罕见的右锁骨下动脉异常；病例报告。
BMC Ear Nose Throat Disord. 2004 Mar 30;4(1):1. doi: 10.1186/1472-6815-4-1.
10
Acute fatal haemorrhage during percutaneous dilatational tracheostomy.经皮扩张气管切开术期间的急性致命性出血
Br J Anaesth. 2003 Apr;90(4):517-20. doi: 10.1093/bja/aeg074.
Zotero 插件