气管支气管患者的气道管理

Airway management for patients with a tracheal bronchus.

作者信息

Ikeno S, Mitsuhata H, Saito K, Hirabayashi Y, Akazawa S, Kasuda H, Shimizu R

机构信息

Department of Anesthesiology, Jichi Medical School, Tochigi, Japan.

出版信息

Br J Anaesth. 1996 Apr;76(4):573-5. doi: 10.1093/bja/76.4.573.

DOI:10.1093/bja/76.4.573

PMID:8652335

Abstract

A tracheal bronchus is an aberrant, accessory or ectopic bronchus arising almost invariably from the right lateral wall of the trachea, causing hypoxaemia, atelectasis, or both, during anaesthesia. We describe two patients with a tracheal bronchus found before anaesthesia. One tracheal bronchus was found by tracheobronchoscopy and the other by chest x-ray. Because of recognition of the anomaly before operation, anaesthesia was uneventful in each patient.

摘要

气管支气管是一种异常、副或异位支气管，几乎总是起源于气管右侧壁，在麻醉期间可导致低氧血症、肺不张或两者皆有。我们描述了两名在麻醉前发现气管支气管的患者。一名患者通过气管支气管镜检查发现气管支气管，另一名通过胸部X光发现。由于术前识别出该异常，每名患者的麻醉过程均顺利。