单孔胸腔镜肺癌根治术中发现支气管撕裂并行修补一例及思考  

A case of bronchial tear and concurrent repair during single-hole thoracoscopic lung cancer radical resection

作　　者：史文松 常国涛[1] 杨志强[1] 胡学飞[2] 杨玉伦[1] 赵晓刚[2] Shi Wensong;Chang Guotao;Yang Zhiqiang;Hu Xuefei;Yang Yulun;Zhao Xiaogang(Department of Thoracic Surgery,Zhengzhou People’s Hospital,the People’s Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China;Department of Thoracic Surgery,Shanghai Pulmonary Hospital Affiliated to Tongji University,Shanghai 200433,China)

机构地区：[1]郑州人民医院/河南中医药大学人民医院胸外科,450000 [2]同济大学附属上海市肺科医院胸外科,200433

出　　处：《中国实用医刊》2020年第12期122-122,F0003,F0004,共3页Chinese Journal of Practical Medicine

基　　金：2017年上海"科技创新行动计划"科普项目(17dz2303200)。

摘　　要：气管插管可保障手术中肺通气的需要,气管插管为有创性操作,可导致相关损伤和并发症。本例患者行右肺上叶癌根治术中见双腔气管插管致支气管撕裂,术中及时发现并给予修补,随访未见明显气道狭窄。相关科室应重视导管的选择及医源性气管损伤,并制定有效预防措施避免严重不良事件发生。Endotracheal intubation can ensure the need for lung ventilation during surgery,but it is an invasive procedure that can lead to related injuries and complications.In this patient,bronchial tearing caused by double-lumen endotracheal intubation was seen during the radical operation of the right upper lobe cancer,and it was found and repaired in time.Relevant departments should pay attention to the selection of catheters and Iatrogenic tracheal injury,and formulate effective preventive measures to avoid serious adverse events.

关 键 词：气管插管 支气管撕裂 医源性气管损伤 

分 类 号：R734.2[医药卫生—肿瘤]