INTRAOPERATIVE MANAGEMENT OF SEVERE ENDOBRONCHIAL HEMORRHAGE

被引：23
作者：
PURUT, CM
SCOTT, SM
PARHAM, JV
SMITH, PK
机构：
[1] DUKE UNIV,MED CTR,DEPT SURG,BOX 3442,DURHAM,NC 27710
[2] VET ADM MED CTR,ASHEVILLE,NC 28805
来源：
ANNALS OF THORACIC SURGERY | 1991年 / 51卷 / 02期
关键词：
D O I：
10.1016/0003-4975(91)90808-4
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Endobronchial hemorrhage due to pulmonary artery perforation by a Swan-Ganz catheter developed during grafting while weaning from cardiopulmonary bypass with pulmonary artery venting, bleeding was localized to the right lower lobe bronchus using fiberoptic bronchoscopy. A Fogarty embolectomy catheter was inflated in the bronchus to tamponade successfully only the right lower lobe. This case illustrates a method of distal bronchial blockade for maximal retention of pulmonary function and avoidance of pulmonary resection.
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页码：304 / 307
页数：4
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