Nakamura M, Nakayama R, Sakamoto M, Ushijima K, Terasaki H
Department of Anesthesiology, Kumamoto University School of Medicine.
Masui. 1998 Oct;47(10):1229-32.
An eleven-year-old girl underwent an open biopsy of a mediastinal tumor extending from the foreneck to the tracheal carina under general anesthesia. Immediately following the bucking developed at the end of the surgery, she fell into serious ventilatory difficulty. A bronchoscopic examination revealed that the tracheal membrane had protruded into the tracheal lumen by its contraction concurring with the bucking, resulting in the obstruction of the endotracheal tube outlet. Endotracheal anesthesia might accompany tracheal stenosis by bucking, particularly in patients with a tumor surrounding the trachea.
一名11岁女孩在全身麻醉下对一个从前颈部延伸至气管隆突的纵隔肿瘤进行了开放性活检。手术结束时出现呛咳后，她立即陷入严重的通气困难。支气管镜检查显示，气管膜因与呛咳同时发生的收缩而突入气管腔内，导致气管导管出口阻塞。气管内麻醉可能因呛咳而伴发气管狭窄，尤其是在气管周围有肿瘤的患者中。
