PDF(Pubmed)
Abstract：
BACKGROUND: Traumatic bronchial rupture in infants usually necessitates surgical intervention, with few reports documenting instances of multiple cardiac arrests occurring during surgery under conditions of severe hypoxemia.
METHODS: A 3-year-old boy after trauma presented with severe hypoxemia for 2 days and was urgently transferred to the operating room for surgery, 6 episodes of cardiac arrest happend during surgery.
METHODS: The baby was diagnosed with bronchial rupture based on the history of trauma, clinica manifestations, and intraoperative findings.
METHODS: Intrathoracic cardiac compression and intravenous adrenaline were administrated.
RESULTS: The normal sinus rhythm of the heart was successfully restored within 1 minute on each occasion, facilitating the smooth completion of the surgical procedure. By the end of surgery, SpO2 levels had rebounded to 95% and remained stable.
CONCLUSIONS: Inadequate management of bronchial ruptures in infants frequently coincides with severe hypoxemia, necessitating immediate surgical intervention. Prompt identification and management of cardiac arrest by anesthetists during surgery is imperative to reduce mortality.
METHODS: A 3-year-old boy after trauma presented with severe hypoxemia for 2 days and was urgently transferred to the operating room for surgery, 6 episodes of cardiac arrest happend during surgery.
METHODS: The baby was diagnosed with bronchial rupture based on the history of trauma, clinica manifestations, and intraoperative findings.
METHODS: Intrathoracic cardiac compression and intravenous adrenaline were administrated.
RESULTS: The normal sinus rhythm of the heart was successfully restored within 1 minute on each occasion, facilitating the smooth completion of the surgical procedure. By the end of surgery, SpO2 levels had rebounded to 95% and remained stable.
CONCLUSIONS: Inadequate management of bronchial ruptures in infants frequently coincides with severe hypoxemia, necessitating immediate surgical intervention. Prompt identification and management of cardiac arrest by anesthetists during surgery is imperative to reduce mortality.
摘要：
背景：婴儿外伤性支气管破裂通常需要手术干预，很少有报告记录在严重低氧血症的情况下在手术过程中发生多次心脏骤停的情况。
方法：一名3岁男孩外伤后出现严重低氧血症2天，紧急转移到手术室进行手术，手术期间发生6次心脏骤停。
方法：根据外伤史诊断为支气管破裂，临床表现，和术中发现。
方法：胸腔内心脏压迫和静脉注射肾上腺素。
结果：心脏正常窦性心律每次在1分钟内成功恢复，有利于顺利完成外科手术。手术结束时,SpO2水平已回升至95%，并保持稳定。
结论：婴儿支气管破裂的管理不当通常与严重的低氧血症有关，需要立即手术干预。麻醉医师在手术过程中及时识别和处理心脏骤停对于降低死亡率至关重要。
方法：一名3岁男孩外伤后出现严重低氧血症2天，紧急转移到手术室进行手术，手术期间发生6次心脏骤停。
方法：根据外伤史诊断为支气管破裂，临床表现，和术中发现。
方法：胸腔内心脏压迫和静脉注射肾上腺素。
结果：心脏正常窦性心律每次在1分钟内成功恢复，有利于顺利完成外科手术。手术结束时,SpO2水平已回升至95%，并保持稳定。
结论：婴儿支气管破裂的管理不当通常与严重的低氧血症有关，需要立即手术干预。麻醉医师在手术过程中及时识别和处理心脏骤停对于降低死亡率至关重要。
