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題名 | Tension Pneumothorax Complicated by Double-Lumen Endotracheal Tube Intubation=插雙管氣管內管併發張力性氣胸 |
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作者 | 黃佳君; 左安順; 劉宏濱; 何綺月; 楊敏文; | 書刊名 | 長庚醫學 |
卷期 | 28:7 2005.07[民94.07] |
頁次 | 頁503-507 |
分類號 | 416.5 |
關鍵詞 | 併發症; 張力性氣胸; 麻醉; 雙管氣管內管插管; Complication; Tension pneumothorax; Anesthesia; Double lumen endotracheal tube intubation; |
語文 | 英文(English) |
中文摘要 | 機械性通氣造成張力性氣胸並非罕見,但插雙管氣管內管併發張力性氣胸是非常罕見的。一旦發生立即引起呼吸及心臟功能衰竭後病患會立刻死亡。文獻報告指出張力性氣胸幾乎只發生單側肺通氣之後。我們報告一位病患麻醉誘導後插雙管氣管內管,單側肺通氣之前發生張力性氣胸。插雙管氣管內管後病患出現發紺,無脈博電氣活動以及休克。實施高級心臟救命術並插左側胸管治療後心跳壓恢復正常。文中我們分析插雙管氣管內管時發生張力性氣胸的可能原因,以供大家參考。 |
英文摘要 | Tesnsion neumothorax is not a rare complication of mechanical ventilation, but its occurrence immediately after intubation with a double-lumen endotracheal tube (DLT) is very rare. Subsequent impairment of the respiratory and cardiovascular function can be life threatening if it is not detected early enough and managed properly. Most reported DLT intubation occurred when one-lung ventilation was applied. Herein we report a case of tension pneumothorax and pnenumoperitoneum which occurred immediately after DLT intubation. It appeared before one-lung ventilation was applied because of and inappropriately small-sized and malpositioned DLT. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。