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[使用左弯罗伯特肖双腔支气管导管插管后发生急性右主支气管阻塞]

[Acute right bronchial blockade following intubation with a left-swing Robertshaw tube].

作者信息

Homann B

出版信息

Anaesthesist. 1985 Feb;34(2):91-2.

PMID:3985305
Abstract

After proper insertion of an intact leftsided Robertshaw endotracheal tube an acute block of the right main bronchus occurred in two patients. The cause was seen in too short a distance between the upper tracheal and the lower bronchial cuff of the tube. In case of a greater distance between the cuff-bearing segments this problem was never encountered. A careful measurement of all Robertshaw tubes demonstrated segments of various length between the upper and lower cuffs. Information from the manufacturer Malinckrodt New York/Grossostheim revealed that this problem has been solved by standardized segments of greater length. Also the Portex company Hythe/Hamburg appears to be aware of this problem.

摘要

在正确插入完好的左侧罗伯特肖气管导管后,两名患者出现了右主支气管急性阻塞。原因是气管导管的上气管套囊与下支气管套囊之间的距离过短。当带套囊节段之间的距离较大时,从未遇到过这个问题。对所有罗伯特肖气管导管进行仔细测量发现,上下套囊之间的节段长度各不相同。来自制造商纽约马林克罗特/格罗斯托伊姆的信息显示,这个问题已通过采用更长的标准化节段得到解决。海斯/汉堡的波特克斯公司似乎也意识到了这个问题。

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