肺部细分切除术后大规模气管亡的成功保守治疗
Norifumi Tsubokawa1, Takeshi Mimura2, Kazuki Tadokoro2
1Department of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, 3-1 Aoyama-cho, Kure City, Hiroshima, 737-0023, Japan. international-1@hotmail.co.jp.
Surgical case reports
|September 11, 2023
概括
在食道癌患者的肺部手术后,可以发生广泛的气管缩. 在稳定的患者中,保守的抗生素治疗可能有效地管理这种罕见的并发症.
科学领域:
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
背景情况:
- 气管亡是一种罕见但严重的并发症.
- 这可能是由于气管的丰富血液供应造成的.
- 这一案例突出了扩散性食道癌的肺部外科手术后的广泛气管死.
研究的目的:
- 报告一个罕见的广泛气管亡病例.
- 讨论在患有食道切除病史的患者肺切除后气管死的管理.
- 评估这种并发症的保守治疗方法.
主要方法:
- 一名74岁的男性有食管切除病史,接受了视频辅助的胸腔镜右上角切除术,用于转移性食管癌.
- 手术后的成像显示了广泛的气管亡.
- 开始使用静脉注射抗生素进行保守的治疗.
主要成果:
- 患者在手术后26天出现了广泛的气管缩 (16x42毫米缺陷).
- 尽管病情严重,但患者在临床上仍然稳定.
- 保守的抗生素治疗导致症状改善和出院成功.
结论:
- 在食道切除术后的右上肺叶切除带有气管死的风险.
- 在血液动力学稳定的患者中,保守的治疗是广泛的气管亡的可行选择.
- 这一案例强调了警监测和量身定制的治疗方法的重要性.
相关概念视频
Trachea
2.2K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.2K
Tracheostomy Decannulation
232
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
232
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
20
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
20
Tracheostomy: Procedure and Tubes
711
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
711
Tracheostomy Care I: Pre-procedural Steps
231
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
231
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
682
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
682


