气管切开患者气管支气管支架置入的固有问题。

Inherent problems of tracheo-bronchial stenting in patients with tracheostomy.

作者信息

Lindenmann Joerg, Porubsky Christian, Matzi Veronika, Maier Alfred, Smolle-Juettner Freyja Maria

机构信息

Division of Thoracic and Hyperbaric Surgery, Department of Surgery, University Medical School, Graz, Austria.

出版信息

Ann Thorac Surg. 2006 Nov;82(5):1897-8. doi: 10.1016/j.athoracsur.2006.03.027.

DOI:10.1016/j.athoracsur.2006.03.027

PMID:17062272

Abstract

In cases of permanent tracheostomy after laryngectomy, tracheo-bronchial stenting may cause serious respiratory problems due to the absence of airway humidification and the inability to cough forcefully. We report 2 patients with permanent tracheostomy who underwent stenting and developed recurrent episodes of asphyxia due to stent obstruction by dried mucus. The indication for stenting of the airways must be established with great care in patients with permanent tracheostomy.

摘要

在喉切除术后永久性气管造口的病例中，由于气道缺乏湿化以及无法用力咳嗽，气管支气管支架置入可能会导致严重的呼吸问题。我们报告了2例永久性气管造口患者，他们接受了支架置入术，并因干燥黏液阻塞支架而反复出现窒息发作。对于永久性气管造口患者，必须极其谨慎地确定气道支架置入的适应证。