Horie T, Higa K, Ken-Mizaki Y, Noda B, Dan K
Department of Anesthesiology, School of Medicine, Fukuoka University.
Masui. 1994 Sep;43(9):1366-9.
We report a case of tracheal rupture associated with use of a double-lumen endobronchial tube. The patient was a 58-year-old woman with metastatic carcinoma of the right upper lung lobe. Her trachea was intubated easily with a left-sided double-lumen endobronchial tube (Broncho-Cath, #35Fr). She underwent right upper lobectomy under general anesthesia using isoflurane (0.4-1.0%) and nitrous oxide (50%) in oxygen. When the lungs were inflated before closure of the chest, an air leak at the membranous part of the trachea was detected. A tracheal rupture, beginning 3 cm above the carina and 7 cm long, was noted at the membranous part of the trachea, and the cuff protruded partially from the ruptured trachea. The trachea was sutured, and a tracheostomy was carried out. Mechanisms of tracheal rupture related to double-lumen endobronchial tubes are discussed.
我们报告一例与使用双腔支气管导管相关的气管破裂病例。患者为一名58岁女性，患有右上肺叶转移性癌。使用左侧双腔支气管导管（支气管导管，#35Fr）轻松对其气管进行插管。她在全身麻醉下使用异氟醚（0.4 - 1.0%）和氧化亚氮（50%）加氧气进行了右上肺叶切除术。当在关闭胸腔前肺充气时，在气管膜部检测到漏气。在气管膜部发现一处气管破裂，起始于隆突上方3 cm，长7 cm，并且气囊部分从破裂的气管中突出。对气管进行了缝合，并实施了气管造口术。文中讨论了与双腔支气管导管相关的气管破裂机制。
