一例主支气管断裂患者的经胸支气管插管术

Transthoracic bronchial intubation in a case of main bronchus disruption.

作者信息

Rupprecht H, Rümenapf G, Petermann H, Günther K

机构信息

Department of Surgery, University of Erlangen-Nuremberg, Germany.

出版信息

J Trauma. 1996 Nov;41(5):895-8. doi: 10.1097/00005373-199611000-00024.

DOI:10.1097/00005373-199611000-00024

PMID:8913223

Abstract

We report on a case of blunt thoracic trauma that resulted in complete disruption of the right main bronchus. Due to massive loss of respiratory volume during thoracotomy, sufficient ventilation could not be maintained via the orotracheal tube. Transthoracic intubation of the left main bronchus via the right bronchial defect was the ultima ratio procedure that allowed reanastomosis of the disrupted right main bronchus.

摘要

我们报告一例钝性胸部创伤导致右主支气管完全断裂的病例。由于开胸手术期间呼吸容积大量丧失，经口气管插管无法维持足够的通气。经右支气管缺损对左主支气管进行经胸插管是最终的手术方法，从而得以对断裂的右主支气管进行重新吻合。