Cameron D, Lupton B A
Department of Paediatrics, University of British Columbia, Vancouver, Canada.
Arch Dis Child. 1993 Jul;69(1 Spec No):79-80. doi: 10.1136/adc.69.1_spec_no.79.
During routine nasal intubation of a premature infant, the endotracheal tube penetrated the brain. Bloodstained cerebrospinal fluid and neural tissue was apparent. Initial cranial sonography was normal, but the infant later developed extensive intracranial haemorrhage. Rotation of an endotracheal tube to facilitate insertion angles the bevel at the tip upwards, increasing risk of brain penetration. Great care is required during nasal intubation; use of a small feeding tube over which to slide an endotracheal tube may be helpful.
在对一名早产儿进行常规鼻腔插管时，气管内导管穿透了脑部。可见血性脑脊液和神经组织。最初的头颅超声检查正常，但该婴儿后来发生了广泛的颅内出血。为便于插入而旋转气管内导管会使尖端的斜面向上，增加穿透脑部的风险。鼻腔插管时需要格外小心；使用一根小的饲管，以便在其上滑动气管内导管可能会有所帮助。
