气管无名动脉瘘的处理
Management of tracheoinnominate artery fistula.
作者信息
Wright C D
机构信息
Department of Surgery, Harvard Medical School, Boston, Massachusetts, USA.
出版信息
Chest Surg Clin N Am. 1996 Nov;6(4):865-73.
PMID:8934014
Abstract
TIF is a rare and often fatal complication of tracheostomy. Bleeding from the trachea after tracheostomy demands urgent investigation. Bronchoscopy is the diagnostic procedure of choice. Bedside control of hemorrhage by cuff overinflation or digital arterial compression can be lifesaving. Prompt operation with division of the innominate artery and separation of the trachea from the divided artery by viable tissue is indicated. Neurologic complications are rare.
摘要
气管无名动脉瘘（TIF）是气管切开术一种罕见且常致命的并发症。气管切开术后气管出血需要紧急检查。支气管镜检查是首选的诊断方法。通过袖带过度充气或手指压迫动脉进行床边止血可能挽救生命。应及时进行手术，切断无名动脉，并通过有活力的组织将气管与切断的动脉分离。神经并发症罕见。
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