Paksu Muhammet Sukru, Kilinc Ayse Ayzit, Asilioglu Nazik, Gunaydin Mithat, Aydin Turgay, Guzel Ahmet
Pediatric Intensive Care Unit and Department of Pediatrics, Ondokuz Mayis University, Faculty of Medicine, Samsun, Turkey.
Pediatr Emerg Care. 2013 Aug;29(8):934-8. doi: 10.1097/PEC.0b013e31829ec8a7.
Tracheal rupture is rare in childhood, and optimal treatment is not clear. A 14-year-old boy was admitted to a local hospital after sudden loss of consciousness. He underwent endotracheal intubation and was referred to our hospital. The patient's history revealed that he had voluntarily inhaled butane gas. The physical examination was consistent with coma and cardiogenic shock, and the chest radiograph showed pulmonary edema. The patient was admitted to the intensive care unit, and diuretic and inotropic therapy was started. In the third hour of monitoring of the patient under mechanical ventilation, subcutaneous emphysema and pneumothorax at the right hemithorax were observed without deterioration of the vital functions. Thoracic computed tomography scan findings were consistent with tracheal rupture. The patient was monitored conservatively without surgery. On the fifth day of hospitalization, his tube was removed, and he was discharged on the 12th day with a positive prognosis. In this study, a tracheal rupture case after endotracheal intubation is presented in which the patient recovered completely with conservative therapy.
气管破裂在儿童时期较为罕见，最佳治疗方法尚不明确。一名14岁男孩在突然失去意识后被送往当地医院。他接受了气管插管，随后被转诊至我院。患者病史显示他曾自愿吸入丁烷气体。体格检查结果与昏迷和心源性休克相符，胸部X线片显示肺水肿。患者被收入重症监护病房，并开始进行利尿和强心治疗。在对患者进行机械通气监测的第三个小时，观察到右侧胸腔出现皮下气肿和气胸，但生命体征并未恶化。胸部计算机断层扫描结果与气管破裂相符。患者未接受手术，而是进行了保守监测。住院第五天，拔除了他的导管，他在第12天出院，预后良好。在本研究中，报告了一例气管插管后气管破裂的病例，该患者通过保守治疗完全康复。
