Department of Chest Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan.
Respir Care. 2011 Jun;56(6):861-2. doi: 10.4187/respcare.00891. Epub 2011 Feb 11.
Endotracheal intubation can lead to iatrogenic trauma to the upper airways. Superficial mucosal tears in the mouth, pharynx, or larynx are common and can cause secondary infection and acute respiratory distress due to massive air leak. We report a patient who sustained a severe 5-cm tracheal laceration and subcutaneous emphysema after intubation. She was successfully weaned from the ventilator after adjustment of the endotracheal cuff, therapy with broad-spectrum antibiotics, and continuous airway humidification.
气管插管可导致上呼吸道医源性损伤。口腔、咽或喉的浅层黏膜撕裂很常见，可因大量空气泄漏导致继发性感染和急性呼吸窘迫。我们报告了一例患者，在插管后发生严重的 5 厘米气管裂伤和皮下气肿。在调整气管套囊、使用广谱抗生素和持续气道湿化治疗后，患者成功撤离呼吸机。
