Meuser W
Laryngol Rhinol Otol (Stuttg). 1978 Oct;57(10):914-8.
In performing mediastinoscopy the scope will pass the innominate artery, the innominate vein, the aortic arch, and the right pulmonary artery. The pretracheal fascia will protect these vessels if the tube is inserted exactly between the trachea and the fascia. However, bleeding could be caused by injuring a lymph node vessel or a bronchial artery. If this happens the bleeding can be stopped by packing the wound canal with a gauze wick soaked in adrenaline, by electrocoagulation, or by using an Ethislipknot. When mediastinoscopy is performed as micromediastinoscopy by means of using the Zeiss operation microscope and special instruments in most cases bleeding will be avoided.
在进行纵隔镜检查时，内镜将经过无名动脉、无名静脉、主动脉弓和右肺动脉。如果在气管和气管前筋膜之间准确插入内镜，气管前筋膜会保护这些血管。然而，损伤淋巴结血管或支气管动脉可能会导致出血。如果发生这种情况，可通过用浸有肾上腺素的纱布条填塞伤口通道、电凝或使用Ethilip结来止血。在大多数情况下，当使用蔡司手术显微镜和特殊器械进行微型纵隔镜检查时，可避免出血。
