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題 名 | 氣管插管併發咽食道破裂--病例報告=Pharyngoesophageal Perforation Complicated by Endotracheal Intubation--Case Report |
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作 者 | 周郁文; 朱繡棟; 侯友益; 楊宜璋; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 33:5 1998.10[民87.10] |
頁 次 | 頁114-117 |
分類號 | 416.89 |
關鍵詞 | 氣管插管; 咽食道破裂; Endotracheal intubation; Pharyngoesophageal perforation; |
語 文 | 中文(Chinese) |
中文摘要 | 氣管插管時所造成之咽食道破裂在臨床上頗為罕見。本院經驗1例,77歲 男性患者,為接受鞏膜扣壓術及玻璃體切除術時實施全身麻醉。術後患者主訴有輕微發燒、 咳血、喉嚨痛及頸部腫脹等症狀,乃會診耳鼻喉科。理學檢查發現兩側頸部壓痛,壓迫左頸 時有捻髮聲。電腦斷層掃瞄發現氣體廣佈於後咽間隙及兩側側咽間隙。因此懷疑為氣管插管 後因食道破裂。雖經頸部清創術及縫合後咽壁破洞,但傷口癒合不良。遂改以打開傷口、長 期換藥治療,直至咽部破裂處癒合。術後追蹤至今半年,病人情況良好。 |
英文摘要 | Pharyngoesophageal perforation caused by oral endotracheal intubation is an unusual case clinically. A 77-year-old male patient suffered from hemoptysis, mild fever, sore throat and neck sweelling after receiving sclera buckling and vitrectomy under general anesthesia. In group consultation with otolaryngologists, the physical examination revealed local tenderness over bilateral neck and crepitus over left neck. Computer assisted tomography scan showed emphysema in the posterior pharyngeal and bilateral lateral pharyngeal space. So it was suspected that the patient had a pharyngeal perforation after receiving oral endotracheal intubation. Although incision, debridement and primary closure of a perforated wound at the left lateral pharyngeal wall were performed. the wound healing was poor. Therefore, the wound was reopened and kept on wet dressing on a long term basis until it healed up. The patient was followed up and stable for half a year since completion of the operation. |
本系統中英文摘要資訊取自各篇刊載內容。