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机械通气后气管扩张和气管食管瘘：一例病例报告及文献复习

Tracheomegaly and tracheosephagial fistula following mechanical ventilation: A case report and review of the literature.

作者信息

Kucuk Canan, Arda Kemal, Ata Naim, Turkkani Mustafa Hamidullah, Yildiz Özgür Ömer

机构信息

Ankara 29 Mayıs Hosp., Dept of Anesthesiology and Reanimation, Turkey.

Ankara Atatürk Research and Education Hosp., Dept of Radiology, Turkey.

出版信息

Respir Med Case Rep. 2016 Feb 8;17:86-9. doi: 10.1016/j.rmcr.2016.02.003. eCollection 2016.

DOI:10.1016/j.rmcr.2016.02.003
PMID:27222792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4821361/
Abstract

Postintubation Tracheoesophageal fistula (TEF) is a rare complication. Acquired TEF most commonly occurred following prolonged mechanical ventilation with an endotracheal or tracheostomy tube, cuff-related tracheal injury, post-intubation injury. We present a case of both tracheomegaly and tracheosephagial fistula following mechanical ventilation for 15 days, in the light of the literature.

摘要

气管插管后气管食管瘘（TEF）是一种罕见的并发症。获得性TEF最常见于长时间使用气管内插管或气管造口管进行机械通气、与套管相关的气管损伤、插管后损伤之后。根据文献，我们报告一例在机械通气15天后出现气管扩大和气管食管瘘的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b89/4821361/222d5043754d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b89/4821361/9deb4c580613/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b89/4821361/d3027fb26a05/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b89/4821361/803e37268886/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b89/4821361/222d5043754d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b89/4821361/9deb4c580613/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b89/4821361/d3027fb26a05/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b89/4821361/803e37268886/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b89/4821361/222d5043754d/gr4.jpg

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本文引用的文献

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Successful closure of intractable tracheoesophageal fistula using a combination of a modified silicon stent and metallic stents.采用改良硅支架和金属支架联合使用成功闭合难治性气管食管瘘。
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Early presentation of postintubation tracheoesophageal fistula: Perioperative anesthetic management.
疑似脑膜炎球菌败血症合并急性呼吸窘迫综合征患者因长时间插管导致气管食管瘘：一例报告
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Anesth Pain Med. 2017 Jul 22;7(4):e57801. doi: 10.5812/aapm.57801. eCollection 2017 Aug.
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Tracheoesophageal fistula.气管食管瘘
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