因钝性外伤导致的伴有类骨化性气管病改变的严重气管狭窄。

Severe tracheal stenosis with tracheopathia osteoplastica-like changes due to traumatic blunt injury.

作者信息

Kakinuma Kazutaka, Morikawa Kei, Miyamoto Yasuhiro, Saji Hisashi, Mineshita Masamichi, Miyazawa Teruomi

机构信息

Department of Internal Medicine, Division of Respiratory and Infectious Diseases, St. Marianna University School of Medicine Kawasaki, Japan.

Department of Otorhinolaryngology, St. Marianna University School of Medicine Kawasaki, Japan.

出版信息

Respirol Case Rep. 2014 Dec;2(4):154-6. doi: 10.1002/rcr2.83. Epub 2014 Oct 31.

DOI:10.1002/rcr2.83

PMID:25530868

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4263500/

Abstract

A 17-year-old man was injured in a motorcycle accident, leading to a complex cerebral contusion and hepatic injury. Approximately one month after being discharged from the hospital, the patient experienced gradually progressive dyspnea on exertion. Chest computed tomography revealed severe upper tracheal stenosis; thus, emergency tracheotomy and subsequent tracheoplasty were performed. Microscopically, the deformation of tracheal cartilage and extensive interstitial ossification/fibro-elastic changes were observed. To our knowledge, this is the first report documenting the ossification of the trachea that rapidly progressed after injury, which was confirmed by surgical resection of the upper trachea.

摘要

一名17岁男性在摩托车事故中受伤，导致复杂的脑挫伤和肝损伤。出院后约一个月，患者在运动时出现逐渐加重的呼吸困难。胸部计算机断层扫描显示严重的上气管狭窄；因此，进行了紧急气管切开术及后续的气管成形术。显微镜下观察到气管软骨变形以及广泛的间质骨化/纤维弹性改变。据我们所知，这是第一例记录受伤后气管骨化迅速进展的报告，通过对上段气管的手术切除得以证实。