Chao Yin-Kai, Liu Yun-Hen, Hsieh Ming-Ju, Ko Po-Jen, Liu Hui-Ping
Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taiwan [corrected]
Respirology. 2007 Sep;12(5):780-2. doi: 10.1111/j.1440-1843.2007.01126.x.
Stenting is an effective method of treating airway stenosis. However, airway obstruction due to mucus plugging is problematic. Treatment of this has mainly been conservative. This report describes a patient with complicated tracheal stenosis treated with silicone hood stent, who experienced repeated episodes of airway obstruction due to sputum accumulation. A novel method of sputum clearance and self-care, using a long endotracheal tube within the silicone stent, is described. This procedure resulted in a stable and patent airway, and the patient was discharged smoothly after the procedure. No further respiratory symptom occurred during the follow-up period.
支架置入术是治疗气道狭窄的一种有效方法。然而，黏液堵塞导致的气道阻塞是个问题。对此的治疗主要是保守治疗。本报告描述了一名接受硅胶罩支架治疗的复杂性气管狭窄患者，该患者因痰液积聚反复出现气道阻塞。文中介绍了一种在硅胶支架内使用长气管导管进行痰液清除和自我护理的新方法。该操作使气道保持稳定且通畅，患者术后顺利出院。随访期间未再出现呼吸道症状。
