Sakuragi T, Kumano K, Yasumoto M, Dan K
Department of Anesthesiology, School of Medicine, Fukuoka University, Japan.
Acta Anaesthesiol Scand. 1997 Oct;41(9):1218-20. doi: 10.1111/j.1399-6576.1997.tb04869.x.
We report a rupture of the left main-stem bronchus following the insertion of a left-sided double-lumen endobronchial tube in a 76-yr-old woman with a short trachea. A fiberoptic bronchoscope was not used during the initial insertion of the tube and the depth of insertion resulted in approximately 5 cm in excess of the optimal level for this patient. The rupture had been caused by the tracheal portion of the double-lumen tube. This damage may have been avoided if a fiberoptic bronchoscope was used routinely as an introducer and for positioning of the endobronchial tube under direct vision.
我们报告了一名76岁气管较短的女性在插入左侧双腔支气管导管后发生左主支气管破裂的病例。在最初插入导管时未使用纤维支气管镜，插入深度比该患者的最佳水平超出了约5厘米。破裂是由双腔导管的气管部分造成的。如果常规使用纤维支气管镜作为引导器并在直视下定位支气管内导管，这种损伤可能会避免。
