创伤患者应避免不必要的手术吗?病例报告

Mehdi Torabi
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引用次数: 0

摘要

气管内插管多见于右主支气管;然而,它可能很少在左侧进行。一名52岁男子在多处外伤后被紧急医疗服务(EMS)带到急诊室。右肺的声音减弱了。肺部计算机断层扫描(CT)显示全肺不张。该扫描是在患者没有提及任何近期病史或肺部问题或疾病的投诉。CT扫描可见右侧白色肺,气管向右偏,右肺萎陷实变。在左主支气管可见气管内管像,这是一种罕见的现象。创伤患者的右肺音减弱不一定是由于气胸或血胸所致。在这些患者中,也应考虑罕见的左肺插管现象。由于右肺出现病变,可能需要左肺插管。
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Do Avoid Unnecessary Procedure in A Trauma Patient? A Case Report
Endotracheal intubation is more commonly performed in the right main bronchus; however, it may rarely be performed in the left side. A 52-years-old man was brought to the emergency department by emergency medical services (EMS) after multiple trauma injury. There was a decrease in the right lung’s sound. Lung computed tomography (CT) scan revealed total pulmonary atelectasis. This scan was at the time that patient did not mention any recent history or complaint of pulmonary problems or diseases. In CT scan, we observed the white lung in the right side, the trachea which was deviated to the right, and the collapse-consolidation of the right lung was seen. The endotracheal tube image was observed in the left main bronchus which is a rare phenomenon. Decreasing of the right lung sound may not always be due to pneumothorax or hemothorax in trauma patients. In these patients, the rare phenomenon of left lung intubation should be considered as well. Left lung intubation may occur because of the lesion presence in the right lung.
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