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中华临床医师杂志(电子版) ›› 2025, Vol. 19 ›› Issue (01) : 85 -88. doi: 10.3877/cma.j.issn.1674-0785.2025.01.013

病例报告

体外膜肺氧合辅助下以ICU为平台的MDT-紧急救治颈部闭合性损伤致气道完全断裂一例
胡林虎1, 胡朝恩2, 张泽奎1, 马承语1, 李天龙3,()   
  1. 1. 624000 四川阿坝,四川省阿坝藏族羌族自治州人民医院重症医学科
    2. 617000 四川攀枝花,攀枝花市中心医院重症医学科
    3. 610000 成都,四川省人民医院电子科技大学附属医院重症医学中心
  • 收稿日期:2025-01-09 出版日期:2025-01-15
  • 通信作者: 李天龙

Extracorporeal membrane oxygenation-assisted multi-disciplinary emergency treatment of a patient with complete airway rupture caused by closed neck injury using intensive care unit as a platform

Linhu Hu, Chao'en Hu, Zekui Zhang, Chengyu Ma, Tianlong Li()   

  • Received:2025-01-09 Published:2025-01-15
  • Corresponding author: Tianlong Li
引用本文:

胡林虎, 胡朝恩, 张泽奎, 马承语, 李天龙. 体外膜肺氧合辅助下以ICU为平台的MDT-紧急救治颈部闭合性损伤致气道完全断裂一例[J/OL]. 中华临床医师杂志(电子版), 2025, 19(01): 85-88.

Linhu Hu, Chao'en Hu, Zekui Zhang, Chengyu Ma, Tianlong Li. Extracorporeal membrane oxygenation-assisted multi-disciplinary emergency treatment of a patient with complete airway rupture caused by closed neck injury using intensive care unit as a platform[J/OL]. Chinese Journal of Clinicians(Electronic Edition), 2025, 19(01): 85-88.

图1 当地医院的颈部创伤面
图2 四川省人民医院胸部CT。图a为气管断端上缘;图b为创腔积血;图c为创腔积气;图d为气管断端下缘
图3 气管成形术+气管切开术+颈部清创缝合术+颈部损伤探查+组织筋膜瓣成形术。图a为颈部浅层切开暴露后可见颈部瘀血和肌肉组织损伤;图b为打开颈部创腔时可见创腔和气管内可见大量积血和瘀血;图c为正在测量气管上下断端距离;图d为吻合气管上下断端之后的照片(气管前壁未吻合,做为气切导管放入的自然造瘘口);图e为沿吻合口前壁放入气切导管
图4 术后床旁胸片。图a为术后安置了双侧胸腔引流管;图b为术后已拔出双侧胸腔引流导管
图5 患者已拔出气管切开导管
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