Pafko P, Schützner J
III. chirurgická klinika 1. LF UK, Praha.
Rozhl Chir. 1998 Jan;77(1):5-7.
The authors present two cases of post-intubation perforation of the trachea and main left bronchus resp. One was diagnosed incidentally during thoracotomy, on the second to third day after attempted intubation during which perforation occurred. The patient's life was threatened by the development of ARDS syndrome. The authors emphasize therefore the necessity of acute tracheobronchoscopy when perforation of the major airways during difficult intubation is suspected. Uncertain suture of the pars membranacea should be covered by the oesophagus.
作者报告了两例气管插管后气管及左主支气管穿孔的病例。其中一例在开胸手术时偶然发现，发生在插管尝试后的第二天至第三天，穿孔即在此时出现。患者因急性呼吸窘迫综合征（ARDS）的发展而生命垂危。因此，作者强调，当怀疑在困难插管过程中发生主气道穿孔时，必须进行紧急气管支气管镜检查。膜部不确定的缝合处应由食管覆盖。
