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題 名 | Management of Postintubation Tracheal Stenosis Using an Extended Length Tracheostomy Tube: A Case Report=使用加長型氣切管治療長期插管後導致之氣管狹窄:一例個案報告 |
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作 者 | 林育生; 黃建文; | 書刊名 | 醫學與健康期刊 |
卷 期 | 1:1 2012.09[民101.09] |
頁 次 | 頁95-100 |
分類號 | 416.215 |
關鍵詞 | 喉氣管狹窄; 插管後的氣管狹窄; Laryngo-tracheal stenosis; Postintubation tracheal stenosis; |
語 文 | 英文(English) |
中文摘要 | 隨著重症醫學的進步,有許多的生命因人工氣道的支持與呼吸器的使用而得以存活下來。在此同時,我們也遇到愈來愈多的病人需要長期的呼吸道支持與呼吸器使用。插管後導致的氣管狹窄是氣管內管或氣切所導致的嚴重併發症之一。插管後導致的氣管狹窄是具挑戰性的問題而且可能導致生命的威脅。目前已發展出數種方式去解決這棘手的問題。但並非所有的病人都能找到適合自己的方式。我們報告了一位77歲長期插管的女性病患,在更換氣管內管與氣切管滑脫時,因插管後導致的氣管狹窄,兩次面對了頻臨死亡的狀態。第二次的氣切手術並使用加長性的氣切管,能成功的維持住病患的呼吸道暢通及生命徵象。 |
英文摘要 | With advances in critical care medicine, many lives are extended through the use of artificial airways and ventilators. Many patients today need long term airway support and become ventilator dependent. Postintubation tracheal stenosis is a serious life-threatening complication of endotracheal (ET) tube intubation or tracheostomies. Although have been several methods for resolving these complications has been devised, not all benefit equally from their use. Herein we report case involving a 77-year-old female patient with prolonged intubation who faced near-death condition resulting from postintubation tracheal stenosis that occurred when a tracheostomy tube was dislodged while the ET tube was being changed. An extended length tube was applied to the patient during a second tracheostomy This allowed airway patency and vital stability. |
本系統中英文摘要資訊取自各篇刊載內容。