[双腔支气管内插管不成功的单肺通气]。

R K Cheng, H S Chung, P P Tan
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引用次数: 0

摘要

本文报告3例开胸双腔支气管内插管不成功的病例。其中两人首先用气管内插管。在第一位患者中,福格蒂导管与气管内管一起插入右主支气管,作为支气管阻滞剂。第二例患者使用气管管交换器将气管内管改为Univent管进行单肺通气。第三例患者行鼻纤维插管,Fogarty导管经气管内管腔进入左主支气管作为支气管阻滞剂。所有病例均成功进行单肺通气,未使用双腔支气管内管。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[One lung ventilation in cases with unsuccessful double-lumen endobronchial intubation].

Three cases of thoracotomy with unsuccessful double-lumen endobronchial intubation were reported. Two were first intubated with an endotracheal tube. In the first patient a Fogarty catheter was inserted alongside the endotracheal tube into the right main bronchus to act as a bronchial blocker. The second patient employed a tracheal tube exchanger to change the endotracheal tube into an Univent tube for one lung ventilation. Nasal fiberoptic intubation was performed in the third case and a Fogarty catheter was passed through the lumen of the endotracheal tube into the left main bronchus as the bronchial blocker. All reported cases were operated with one lung ventilation successfully without the use of a double-lumen endobronchial tube.

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