Singhal Sanjay, Kiran S, Das Avinash
Department of Respiratory Medicine, Command Hospital (Central Command), Lucknow, Uttar Pradesh, India.
Avicenna J Med. 2013 Apr;3(2):48-9. doi: 10.4103/2231-0770.114125.
This is a case report of a 28-year-old male patient with severe traumatic brain injury and Glasgow coma scale score = 8: E2 M5 VT, who required a tracheotomy for airway protection. On day 5, a surgical tracheotomy was performed with size 8 tracheotomy tube (TT). On the 4(th) day of post-tracheostomy, he developed a sudden onset respiratory distress while on T-piece. Immediate fiber optic bronchoscopy revealed almost a complete closure of TT due to posterior tracheal wall indrawing into the TT with every inspiratory effort.
这是一例28岁男性患者的病例报告，该患者患有严重创伤性脑损伤，格拉斯哥昏迷量表评分为8分：E2 M5 VT，因气道保护需要进行气管切开术。第5天，使用8号气管切开套管（TT）进行了外科气管切开术。气管切开术后第4天，他在使用T形管时突然出现呼吸窘迫。立即进行的纤维支气管镜检查显示，由于每次吸气时气管后壁向气管切开套管内凹陷，气管切开套管几乎完全堵塞。
