1例气管性支气管患者肺叶切除术的麻醉处理

Anesthesia of patients with tracheal bronchus: A case report

目的提高对气管性支气管的认识,探讨术中气道管理方法。方法分析本院收治的1例气管性支气管患者的临床表现、麻醉处理,并复习相关文献,总结诊治经验。结果患者为60岁女性,拟在全麻下行左肺上叶切除术,肺部CT提示为气管性支气管,麻醉诱导完成后,最终在纤支镜引导下将双腔支气管导管放入正确位置,麻醉过程顺利,术后随访无严重并发症。结论气管支气管极为罕见,麻醉医生应做到早发现,早处理。

Objective To improve out understanding of tracheal bronchus by studying the airway management method during operation. Methods Clinical manifestations and anesthesia of a patient with tracheal bronchus admitted to our hospital were analyzed with its related literature reviewed and experiences in its diagnosis and treatment summarized. Results The patient was a 60-year-old female. She underwent left upper lobectomy under general anesthesia and diagnosed with a tracheal bronchus according to her chest CT findings. A double lumen endo-bronchial tube was placed at its proper position under fiberbronchscopic guidance after anesthesia. The patient was followed up after operation, during which no severe complication was found. Conclusion Tracheal bronchus is extremely rare and should be early detected and treated.