气管支气管伴肺部分离困难1例报告

IF 1.1 Q3 ANESTHESIOLOGY
Daniel A Friedlander, Rabi Panigrahi, Dhamodaran Palaniappan
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引用次数: 2

摘要

气管支气管(TB)作为起源于气管的副支气管,在0.1-3%的人群中发生,通常供应右上叶。结核病的存在可能会对气道造成独特的挑战,尤其是在需要肺部隔离的手术中。在这里,我们描述了一个肺结核病例,肺隔离困难。经纤维支气管镜仔细检查,双腔管定位无肺结核梗阻。第二个案例是肺结核的存在并没有影响麻醉管理。讨论了肺结核对气道管理的影响以及成功单肺通气的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tracheal Bronchus With Difficult Lung Isolation: A Case Report
Tracheal bronchus (TB) occurs in 0.1–3% of the population as an accessory bronchus that originates in the trachea, typically supplying the right upper lobe. The presence of a TB can pose unique airway challenges, particularly during procedures that require lung isolation. Here, we describe a case of TB with difficult lung isolation. Careful examination with fiberoptic bronchoscopy permitted double lumen tube positioning without obstruction of the TB. A second case is presented where the presence of TB did not affect anesthetic management. Implications of TB for airway management and strategies for successful one-lung ventilation are discussed.
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来源期刊
CiteScore
3.60
自引率
14.30%
发文量
31
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