Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University Hospital, Busan, Korea.
Korean J Anesthesiol. 2012 Mar;62(3):285-8. doi: 10.4097/kjae.2012.62.3.285. Epub 2012 Mar 21.
Congenital tracheal stenosis (CTS), though rare, is important because the mortality and morbidity rates are high in infants. Especially, associated congenital heart disease (CHD) in these infants may compound the effects of airway pathology. A 3-week-old patient with long-segmental tracheal stenosis below an anomalous right-upper lobe (RUL) bronchus had undergone a total correction of double outlet right ventricle. On third postoperative day, hypercarbia developed, and severe airway obstruction and atelectasis were detected. An emergency slide tracheoplasty was performed under cardiopulmonary bypass (CPB). The patient recovered well after the surgery. Thus, special attention needs to be paid during the postoperative intensive care of patients with congenital tracheal anomalies. Early detection and prompt diagnosis of airway obstruction can help reduce the morbidity and mortality rates. Further, it is important to select the suitable treatment of CTS associated with CHD.
先天性气管狭窄（CTS）虽然罕见，但很重要，因为婴儿的死亡率和发病率很高。特别是这些婴儿并发的先天性心脏病（CHD）可能会加重气道病变的影响。一名 3 周大的患儿因异常右上叶（RUL）支气管下方的长段气管狭窄而接受了右心室双出口的完全矫正手术。术后第 3 天，患儿出现高碳酸血症，并检测到严重的气道阻塞和肺不张。在体外循环（CPB）下进行了紧急滑动气管成形术。手术后，患者恢复良好。因此，对于患有先天性气管异常的患者，在术后重症监护期间需要特别注意。早期发现和及时诊断气道阻塞有助于降低发病率和死亡率。此外，重要的是选择合适的 CHD 相关 CTS 治疗方法。
