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題名 | Aspiration of a Dislodged Endotracheal Tube: A Rare Cause of Acute Total Airway Obstruction=吸入脫落內管導致急性完全呼吸道阻塞 |
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作者 | 黃樹欽; 曾紀浩; 黃潔文; 陳國鼎; 陳捷; Wong, Shu-yam; Tseng, Chi-hao; Wong, Kit-man; Chen, Kuo-ting; Chen, Chit; |
期刊 | 長庚醫學 |
出版日期 | 20030700 |
卷期 | 26:7 2003.07[民92.07] |
頁次 | 頁515-519 |
分類號 | 416.5 |
語文 | eng |
關鍵詞 | 用力咬管; 脫落氣管內管; 完全呼吸道阻塞; Vigorous bite; Tube dislodgment; Total airway obstruction; |
中文摘要 | 我們報告一病例,因為氣管內管自金屬連接處落而吸入呼吸道,導伢急性完全呼吸道阻塞。一位五歲男孩在開刀後清星準備拔管時,用力咬管,致使氣管內管(無氣囊)整條吸入氣管深處,而造成聲門-氣管阻塞。小病人發生缺氧與立即的脅迫性生命危機。我們不能有效的建立暢通的呼吸道,給予純氧的罩換氣並不能解決缺氧問題,我們討論如何處置及快速移除此脫落內管,以免造成不可逆的不幸後果。 |
英文摘要 | We report an unusual cause of acute total airway obstruction after aspiration of a dislodged tube that was separated form its metallic connector. A 5-year-old boy had an emergence agitation and bucking to the endotracheal tube with a vigorous bite before extubation of the trachea. The whole uncuffed endotracheal tube aspirated deep into the lower trachea cuusing laryngotracheal obstruction. The patient showed sudden oxygen desaturation and was then in an immediate life-threatening airway obstruction. We could not rescues oxygenation and were unable to establish a patent airway. Mask ventilation failed to relieve the progressive of hypoxemia. Immediate extraction of the tube using a pair of Magill’s forceps before irreversible exacerbation was performed. We discuss our experience and the importance of prompt decision making and management of the extraction of the dislodged tube. |
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