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題名 | Endotracheal Tube Fires during Carbon Dioxide Laser Surgery on the Larynx:A Case Report=二氧化碳雷射應用於喉部手術引發氣管內管起火燃燒之病例報告 |
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作者 | 郭建宏; 譚炳恆; 陳皆吉; 彭至賢; 李啟禎; 鍾漢軍; 曹清楷; | 書刊名 | 麻醉學雜誌 |
卷期 | 39:1 2001.03[民90.03] |
頁次 | 頁53-56 |
分類號 | 416.5 |
關鍵詞 | 術中併發症; 氣管內管著火; 雷射手術; Intraoperative complication; Endotracheal tube ignition; Laser surgery; |
語文 | 英文(English) |
中文摘要 | 二氧化碳雷射應用在上呼吸道部位的手術時,造成氣管內管起火燃劃極嚴重的一個併發症。雖然有很多防護措施可以用來保護氣管內管,但總是無法提供非常完全的保護。在雷射手術當中,如果氣管幾管用金屬鋁箔紙包覆的不完備的話,尤一管子被雷霆央求我束打到,造成起火燃燒的機會還是很大。我們要報告一位在喉部手術使用二氣化碳雷霆岸地,包覆鋁箔紙的氣管內管被雷射光束打中,而引發管子起火燃燒的個案。在這篇報告中,我們要強調的是,在應用二氧化碳雷射旅行上呼吸道部位的手術時,若呂氏包覆聚氯乙烯製的氣管內管,應將管子包覆完全,而不要有任何管壁裸露出來,以防被雷射光束打中。 |
英文摘要 | Endotracheal tube (ETT) fire is a catastrophic disaster that may occur during laser surgery of the upper airway. Several means are available for protection of polyvinyl chloride (PVC) tube from fire, but they are not perfect in prevention of tires caused by laser beam. The PVC tube is hazardous for carbon dioxide (CO2) laser surgery if it is not well wrapped with metallized foil tape. We report a case that a PVC ETT wrapped with aluminum foil ignited during CO2 laser surgery of the larynx. In this report, we emphasize the shaft of the PVC tube must be completely wrapped with aluminum foil to prevent exposure of any surface if it is used in CO2 laser surgery of the upper aero digestive tract. |
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