Hajjar J, Baylot D, Navez M L
Département d'Anesthésie-Réanimation, CHU Bellevue, Saint-Etienne.
Ann Fr Anesth Reanim. 1993;12(3):321-2. doi: 10.1016/s0750-7658(05)80659-8.
A case is reported of endotracheal tube obstruction due to impaction of a turbinate. This complication occurred during a first attempt of nasotracheal intubation in an ASA 1 18-year-old patient. Once the tube had been inserted into the trachea, manual ventilation was impossible. The diagnosis was made on removal of the completely obstructed tube. Differential diagnosis was sudden severe bronchospasm or a herniated cuff. Anaesthesiologists should be aware of this rare complication when carrying out nasotracheal intubation. Means of prevention are proposed.
报告了一例因鼻甲嵌顿导致气管内导管阻塞的病例。该并发症发生在一名18岁ASA 1级患者首次经鼻气管插管尝试过程中。导管插入气管后，无法进行手动通气。在取出完全阻塞的导管后做出诊断。鉴别诊断为突发严重支气管痉挛或套囊疝出。麻醉医生在进行经鼻气管插管时应意识到这种罕见的并发症。并提出了预防方法。
