AN UNUSUAL CAUSE OF INTRAOPERATIVE HYPOXEMIA

被引：15

作者：

PRIBBLE, CG ^{[1
]}

DEAN, JM ^{[1
]}

机构：

[1] JOHNS HOPKINS UNIV HOSP,DEPT ANESTHESIOL & CRIT CARE MED,BALTIMORE,MD

来源：

JOURNAL OF CLINICAL ANESTHESIA | 1994年 / 6卷 / 03期

关键词：

ATELECTASIS; CONGENITAL; BRONCHUS; TRACHEAL; HYPOXEMIA;

D O I：

10.1016/0952-8180(94)90067-1

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Congenital anomalies of the tracheobronchial tree are rare occurrences; however, they can lead to pulmonary complications. A tracheal bronchus is an anatomic variant in which an ectopic bronchus originates directly from the tracheal wall above the carina. Presented is a case of intraoperative hypoxemia due to right upper lobe collapse. Despite what appeared to be proper endotracheal tube positioning, this clinical scenario was found to be the result of endotracheal tube obstruction of a tracheal bronchus supplying the right upper lobe. Fiberoptic bronchoscopy proved to be a rapid diagnostic and therapeutic tool, as the endotracheal tube was able to be visually positioned above this aberrantly located bronchus.

引用

页码：247 / 249

页数：3

共 10 条

[1]

Barat, Konrad, Tracheal bronchus, Am J Otolaryngol, 8, (1987)

[2]

Holinger, Johnston, Parchet, Zimmerman, Congenital malformations of the trachea, bronchi, and lung, Ann Otol Rhinol Laryngol, 61, pp. 1159-1180, (1952)

[3]

Morrison, Demonstration of a tracheal bronchus by computed tomography, Clin Radiol, 39, pp. 208-209, (1988)

[4]

Ferguson, Neuhauser, Congenital absence of the lung (agenesis) and other anomalies of the tracheobronchial tree, Am J Roentgenol Radium Ther Nucl Med, 52, pp. 459-471, (1944)

[5]

Schaff, Braum, The tracheal bronchus, J Thorac Surg, 33, pp. 282-286, (1979)

[6]

Capitanio, Ramos, Kirkpatrick, Pulmonary sling. Roentgen observations, Am J Roentgenol Radium Ther Nud Med, 112, pp. 28-34, (1971)

[7]

Vredevoe, Brechner, Moy, Obstruction of anomalous tracheal bronchus with endotracheal intubation, Anesthesiology, 55, pp. 581-583, (1981)

[8]

LeRoux, Anatomical abnormalities of the right upper bronchus, J Thorac Cardiovasc Surg, 44, (1962)

[9]

Atwell, Major anomalies of the tracheobronchial tree: with a list of the minor anomalies, Dis Chest, 52, pp. 611-615, (1967)

[10]

Siegel, Shackelford, Francis, McAlister, Tracheal bronchus, Radiology, 130, pp. 353-355, (1979)

← 1 →