儿童金属气管造口管骨折：一例病例报告及文献复习
Fractured metallic tracheostomy tube in a child: a case report and review of the literature.
作者信息
Piromchai Patorn, Lertchanaruengrit Piyawadee, Vatanasapt Patravoot, Ratanaanekchai Teeraporn, Thanaviratananich Sanguansak
机构信息
Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, 40002, Thailand.
出版信息
J Med Case Rep. 2010 Aug 2;4:234. doi: 10.1186/1752-1947-4-234.
INTRODUCTION
Tracheostomy is a common airway procedure for life support. The fracture of the tracheostomy tube is a rare complication. We report a case of a 14-year-old boy whose fractured stainless steel tracheostomy tube dislodged into the tracheobronchial tree. We include a literature review and proposed recommendations for tracheostomy care.
CASE PRESENTATION
A 14-year-old Thai boy who had a stainless steel tracheostomy tube presented with a complaint of intermittent cough for 2 months. During tracheostomy tube cleaning, his parents found that the inner tube was missing. A chest X-ray revealed a metallic density foreign body in his right main bronchus. He underwent bronchoscopic removal of the inner tracheostomy tube and was discharged without further complications.
CONCLUSION
A fractured tracheostomy tube is a rare complication. Appropriate cleaning and scheduled replacement of the tracheostomy tube may prevent this complication.
引言
气管造口术是一种常见的维持生命的气道手术。气管造口管骨折是一种罕见的并发症。我们报告一例14岁男孩，其不锈钢气管造口管骨折并掉入气管支气管树。我们还进行了文献综述，并提出了气管造口护理的建议。
病例介绍
一名14岁的泰国男孩，插有不锈钢气管造口管，主诉间歇性咳嗽2个月。在清洁气管造口管时，他的父母发现内管不见了。胸部X线显示右主支气管有金属密度异物。他接受了支气管镜下取出气管造口内管的手术，出院时无进一步并发症。
结论
气管造口管骨折是一种罕见的并发症。适当清洁和定期更换气管造口管可能预防这种并发症。
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