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胸部创伤后的困难插管

Difficult intubation following thoracic trauma.

作者信息

Groves J, Edwards N, Hood G

机构信息

Department of Anaesthetics, Royal Hallamshire Hospital, Sheffield.

出版信息

Anaesthesia. 1994 Aug;49(8):698-9. doi: 10.1111/j.1365-2044.1994.tb04402.x.

DOI:10.1111/j.1365-2044.1994.tb04402.x
PMID:7943701
Abstract

A previously fit 20-year-old man presented with a large haemothorax following a stab wound to the left chest. Pre-operative airway assessment indicated that tracheal intubation would be routine. On induction of anaesthesia, visualisation of the larynx proved impossible because of soft tissue swelling. Successful intubation was eventually achieved with the aid of a gum elastic bougie. At operation, the patient's common carotid artery was found to have been perforated close to its origin on the aorta. The patient made an uneventful recovery.

摘要

一名既往健康的20岁男性因左胸刺伤后出现大量血胸入院。术前气道评估表明气管插管将是常规操作。麻醉诱导时,由于软组织肿胀,无法看到喉部。最终在弹性探条引导下成功插管。手术中发现患者的颈总动脉在靠近主动脉起始处被刺穿。患者术后恢复顺利。

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