Tzouvelekis Argyris, Kouliatsis George, Oikonomou Anastasia, Trakada Georgia, Froudarakis Marios, Steiropoulos Paschalis, Bouros Demosthenes
Department of Pneumonology, Medical School, Democritus University of Thrace, Greece.
Respir Med. 2008 Aug;102(8):1208-12. doi: 10.1016/j.rmed.2008.02.018. Epub 2008 Jun 24.
Tracheal stenosis may be attributed to several conditions including trauma, infection, tumour or congenital and collagen vascular diseases. Despite improvement in the design of tracheal tubes, however, tracheal stenosis following intubation still remains an important cause for tracheal obstruction, which may be life threatening and often misdiagnosed. On the other hand, studies have exerted the impact of mechanical ventilation as a risk factor for pulmonary embolism. Here, we describe for the first time, an otherwise healthy patient who was mechanically ventilated due to a labor accident and developed acute pulmonary embolism that was further complicated with post-intubation tracheal stenosis. The patient was treated with anticoagulant therapy and oral corticosteroids and was further referred to a specialist centre for consideration for non-surgical endoscopic treatment.
气管狭窄可能由多种情况引起，包括创伤、感染、肿瘤或先天性及胶原血管疾病。然而，尽管气管导管的设计有所改进，但插管后气管狭窄仍然是气管阻塞的一个重要原因，这可能危及生命且常被误诊。另一方面，研究表明机械通气是肺栓塞的一个危险因素。在此，我们首次描述了一名原本健康的患者，因工伤事故接受机械通气，并发急性肺栓塞，进而又出现插管后气管狭窄。该患者接受了抗凝治疗和口服皮质类固醇治疗，并被转诊至专科中心考虑接受非手术内镜治疗。
