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題 名 | Broken Stylet in Tracheobronchial Tree as a Complication of Endotracheal Intubation=卡在氣管支氣管中的斷裂通條--氣管內插管的併發症 |
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作 者 | 蔡明儒; 陳煌麒; 李玫萱; 黃吉志; 黃明賢; | 書刊名 | 胸腔醫學 |
卷 期 | 27:3 2012.06[民101.06] |
頁 次 | 頁194-198 |
分類號 | 415.41 |
關鍵詞 | 氣管內插管; 通條斷裂; 併發症; 支氣管鏡; Endotracheal intubation; Broken stylet; Complication; Bronchoscopy; |
語 文 | 英文(English) |
中文摘要 | 氣管內插管是臨床上常用以維持生命的技術。許多臨床醫師使用通條來幫助氣管內插管的順利進行。我們報告一個氣管內插管時併發通條斷裂並卡在氣管支氣管中的病例。這個合併症在起初並未被察覺,而後由於抽痰時發現抽痰管不易放入,且呼吸器上顯示氣道壓力上升,檢視胸部X光片才發現卡在氣管支氣管中的通條斷片。此斷裂的通條隨後即在支氣管鏡輔助下取出。文獻搜尋顯示這是第一個成功在支氣管鏡輔助下取出氣管支氣管中通條斷片的報告。臨床醫師在發現氣管內插管的病人若抽痰時抽痰管不易放入或呼吸器上顯示氣道壓力上升時,應該警覺氣道內異物的可能性,而通條斷片即是其中一種。 |
英文摘要 | Many clinicians use an intubating stylet to facilitate endotracheal intubation, which is a common life-saving procedure in clinical practice. We reported the case of a patient with a broken metallic stylet that was retained in the tracheobronchial tree as a complication of endotracheal intubation, and was initially unnoticed. Difficulty in passing a suction catheter through the endotracheal tube and increased airway pressure under the mechanical ventilator setting aroused the awareness of the physician, and a follow-up chest radiograph confirmed the presence of a retained fragment of the broken stylet. The broken stylet was later successfully removed using fiberoptic bronchoscopy. No other report on the successful bronchoscopic removal of a broken metallic stylet from the endotracheal tube was found in a literature review. Doctors should be conscious of the possibility of a broken stylet when the suction catheter has a difficult passage or there is increased airway resistance. |
本系統中英文摘要資訊取自各篇刊載內容。