颈部的断刀片碎片：环甲膜切开术的一种意外并发症。
Broken Blade Fragments in the Neck: An Unforeseen Complication of Cricothyroidotomy.
作者信息
Foong Yuen Kok, Yee Soo Mun, Mohamad Irfan
机构信息
Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian, Kelantan, Malaysia.
出版信息
Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3592-3595. doi: 10.1007/s12070-024-04625-8. Epub 2024 Mar 25.
Cricothyroidotomy remains one of the reliable methods for securing the airway when all other methods fail. A broken surgical blade lodged in the neck which stemmed from this procedure is almost unheard of. The objective of this case report is to highlight the challenges in managing foreign bodies in the neck due to iatrogenic causes and the utilization of imaging studies to locate the foreign bodies. We present a case of a 50-year-old lady who was in a 'Can't Intubate, Can't Oxygenate' situation and underwent a cricothyroidotomy but complicated with two fragments of surgical blades were broken and lodged in the neck.
当所有其他方法都失败时，环甲膜切开术仍然是确保气道安全的可靠方法之一。因该手术导致手术刀片碎片留存颈部的情况几乎闻所未闻。本病例报告的目的是强调处理颈部医源性异物的挑战以及利用影像学检查来定位异物。我们报告一例50岁女性患者，她处于“无法插管、无法给氧”的情况，接受了环甲膜切开术，但术后出现手术刀片的两个碎片断裂并留存于颈部的并发症。
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