皮革扩展性气管切除术中的并发症管理:气管内针取出气管内针的案例
Sritam Mohanty1, Biswajit Nayak1, Samir Samal1
1Dept of Critical Care Medicine, IMS & SUM Hospital, Bhubaneswar, Odisha, India.
International journal of emergency medicine
|April 1, 2025
概括
穿皮扩展性气管切除术 (PDT) 期间气管切除术针脱落是一种罕见的并发症. 支气管镜成功地检索出了异物,防止了进一步的伤害,并使得气管切除术能够安全地放置.
科学领域:
- 关键护理医学 关键护理医学
- 干预性肺病学 干预性肺病学
- 手术并发症 手术并发症
背景情况:
- 穿皮扩展性气管切除术 (PDT) 在长期机械通风的ICU中很常见.
- 虽然PDT通常是安全的,但它有潜在的危及生命的并发症.
- 程序组件的Iatrogenic迁移,如气管切开术针,是一个报告不足的风险.
研究的目的:
- 在PDT期间报告一例罕见的气管切开术针迁移病例.
- 突出支气管镜在治疗手术内并发症中的关键作用.
主要方法:
- 一名患有脑内出血的男性患者的病例报告正在接受PDT.
- 脱离的针转移到气管支气管树中.
- 床边支气管检查用于外体检索.
主要成果:
- 支气管镜检查发现了右侧主要支气管中的囊.
- 最初用子取回的尝试没有成功.
- 被操纵到内内管 (ETT) 中,并与同时移除ETT进行提取.
- 在支气管学指导下成功放置了气管切除管;患者的病情保持稳定.
结论:
- 针膜迁移是一种罕见但严重的PDT并发症.
- 支气管镜检查对于在PDT期间管理手术内并发症至关重要.
- 在ICU环境中,程序专业知识和警是至关重要的.
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