Shehata Dena, Lopez Edilin, Vigna Carolina, Maben Sarah, Stock Cameron T, Moffatt-Bruce Susan, Watkins Ammara A, Servais Elliot
Division of Thoracic and Cardiovascular Surgery, Lahey Hospital, Burlington, Massachusetts.
Medical Center, Tufts University School of Medicine, Boston, Massachusetts.
Ann Thorac Surg Short Rep. 2024 Jun 20;2(4):659-661. doi: 10.1016/j.atssr.2024.05.024. eCollection 2024 Dec.
The double-lumen endotracheal tube (DLT) was introduced by Carlens in 1949 and became widely used for single-lung ventilation. DLTs have since become standard for most pulmonary resections. Although the use of DLTs is routine and safe in experienced hands, it is not without risk. Airway injury is an uncommon but potentially fatal complication. Complications of DLT placement are infrequently reported. The incidence of postintubation tracheobronchial rupture is estimated to be 1 in 20,000 to 1 in 75,000 among all intubations (single-lumen endotracheal tubes and DLTs). The estimated incidence after DLT insertions is significantly higher than that of single-lumen endotracheal tube injury, with DLT airway injury incidence ranging from 0.05% to 0.19%.
双腔气管导管（DLT）由卡伦斯于1949年引入，随后广泛用于单肺通气。自那时起，DLT已成为大多数肺切除术的标准。尽管在经验丰富的医生手中，DLT的使用是常规且安全的，但并非没有风险。气道损伤是一种罕见但可能致命的并发症。DLT放置的并发症很少被报道。在所有插管（单腔气管导管和DLT）中，插管后气管支气管破裂的发生率估计为20000分之一至75000分之一。DLT插入后的估计发生率明显高于单腔气管导管损伤，DLT气道损伤发生率在0.05%至0.19%之间。
