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使用急诊体外循环管理下气管广泛病变

Management of extensive lesions of the lower trachea using emergency cardiopulmonary bypass.

作者信息

Sadony V, Schramm G, Doetsch N

出版信息

Thorac Cardiovasc Surg. 1979 Jun;27(3):195-8. doi: 10.1055/s-0028-1096243.

DOI:10.1055/s-0028-1096243
PMID:462469
Abstract

Rapid cardiopulmonary deterioration in patients with extensive lesions of the lower trachea presents a serious challenge in the emergency care. Conventional methods may prove inadequate to achieve airway control and to stablilize the critical condition. Severe airway obstruction and/or massive air leakage are the main causes of failure. An aggressive operative approach is mandatory. Institution of emergency cardiopulmonary bypass for resuscitative purposes and definitive surgical repair of those life-threatening uncommon tracheal lesions seems essential to us. Two cases, managed according to this concept, are presented.

摘要

下气管广泛病变患者的心肺功能迅速恶化,这在急诊护理中是一个严峻的挑战。传统方法可能不足以实现气道控制和稳定危急状况。严重气道阻塞和/或大量漏气是失败的主要原因。必须采取积极的手术方法。对我们来说,为复苏目的建立急诊体外循环并对那些危及生命的罕见气管病变进行确定性手术修复似乎至关重要。本文介绍了根据这一理念处理的两例病例。

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Management of extensive lesions of the lower trachea using emergency cardiopulmonary bypass.使用急诊体外循环管理下气管广泛病变
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