在左半甲状腺切除术后气管穿孔的气道管理:一个案例报告
Masato Ryo1,2, Shunsaku Goto1, Keiko Hamada1
1Department of Anesthesiology, Tokyo Women's Medical University, Tokyo, Japan.
The American journal of case reports
|April 4, 2025
概括
醒着的光纤输管成功地管理了甲状腺手术后罕见的气管穿孔病例. 这种技术对于患有甲状腺切除术后气管并发症的患者的复杂气道管理至关重要.
科学领域:
- 麻醉学 麻醉学
- 胸部外科手术 胸部外科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 气管穿孔是甲状腺手术后的一种罕见但严重的并发症.
- 对于这些情况下,有效的气道管理策略没有得到充分的记录.
- 这一案例突出显示了一种成功的方法来应对甲状腺切除术后具有挑战性的呼吸道并发症.
研究的目的:
- 在甲状腺切除术后发生气管穿孔和亡的患者中报告一个成功的呼吸道管理病例.
- 为了强调醒觉光纤输管在治疗甲状腺切除术后复杂的呼吸道问题的有用性.
主要方法:
- 在甲状腺叶切除术后评估了一名65岁的女性患者,患有3厘米侵蚀性气管穿孔.
- 考虑了包括清醒光纤输内管,清醒气管切割和体外膜氧化等气道管理选项.
- 由于穿孔位置相对于气管分叉的位置,选择了醒着的光纤输管.
主要成果:
- 通过清醒光纤输管,内管成功地放置在气管分叉的上方.
- 在安装了呼吸道后,全身麻醉是无故启动的.
- 组织学分析揭示了状细胞癌,表明与恶性瘤相关的亡是潜在的原因.
结论:
- 醒着光纤输管是治疗甲状腺手术后气管穿孔的有效方法.
- 这一案例强调了考虑先进的呼吸道技术对于罕见的术后并发症的重要性.
- 在甲状腺切除术后的气管穿孔的差异诊断中,应考虑与恶性瘤相关的气管缩.
相关概念视频
Tracheostomy: Procedure and Tubes
5.8K
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...
5.8K
Esophageal Perforation-II: Clinical Manifestations and Management
1.1K
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
1.1K
Peptic Ulcer Disease V: Surgical Management and Nursing Care
1.3K
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
1.3K


