Liu Jia, Zhang Chun-Peng, Li Ye, Dong Su
Department of Thyroid Surgery, First hospital of Jilin University, Changchun, Jilin, China.
Department of Cardiovascular Surgery, First hospital of Jilin University, Changchun, Jilin, China.
J Cardiothorac Surg. 2015 Nov 4;10:148. doi: 10.1186/s13019-015-0357-z.
Patients undergoing total aortic arch replacement or aortic dissecting aneurysmectomy are generally managed with medications to control hypotension and blood coagulation to minimize mortality and morbidity. However, prolonged mechanical ventilation via tracheal intubation increases the risk of tracheal stenosis in such patients.
We present 2 cases (a 49-year-old woman and a 62-year-old man) of post-intubation tracheal stenosis occurring after surgery for the correction of complicated aortic dissection; both cases were successfully managed by tracheal cryotherapy.
Continuous monitoring of cuff pressure and regular cuff palpation are necessary to minimize the incidence of tracheal stenosis. If the patients have concomitant local or systemic infection, adequate preventive measures should be taken to reduce the incidence of post-intubation tracheal stenosis. Tracheal cryotherapy is recommendable for the management of post-intubation tracheal stenosis.
接受全主动脉弓置换术或主动脉夹层动脉瘤切除术的患者通常采用药物控制低血压和凝血，以降低死亡率和发病率。然而，此类患者通过气管插管进行长时间机械通气会增加气管狭窄的风险。
我们报告了2例（1例49岁女性和1例62岁男性）在复杂主动脉夹层矫正手术后发生插管后气管狭窄的病例；两例均通过气管冷冻治疗成功处理。
持续监测袖带压力并定期触诊袖带对于将气管狭窄的发生率降至最低是必要的。如果患者伴有局部或全身感染，应采取充分的预防措施以降低插管后气管狭窄的发生率。气管冷冻治疗推荐用于处理插管后气管狭窄。
