So-Ngern Apichart, Boonsarngsuk Viboon
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Ramathibodi Hospital, Mahidol University, Thailand; Division of Sleep Medicine, Department of Internal Medicine, Faculty of Medicine, Srinagarind Hospital, Khonkaen University, Thailand.
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Ramathibodi Hospital, Mahidol University, Thailand.
Respir Med Case Rep. 2016 Jul 14;19:46-8. doi: 10.1016/j.rmcr.2016.07.007. eCollection 2016.
Although tracheostomy is a well-accepted procedure for airway management, some early and late complications may occur. Fracture of the tracheostomy tube (TT) is a rare complication, particularly in a patient with long-term use. Herein we report a case of fractured metallic TT migrating into the tracheobronchial tree. Rigid bronchoscopy was performed through the tracheostomy stoma and the fractured tube was successfully removed by a balloon catheter. Appropriate cleaning, routine careful examination, and scheduled replacement of the TT may help prevent this complication.
尽管气管切开术是一种广泛接受的气道管理方法，但仍可能发生一些早期和晚期并发症。气管切开套管（TT）骨折是一种罕见的并发症，尤其是在长期使用的患者中。在此，我们报告一例金属TT骨折并移入气管支气管树的病例。通过气管造口进行硬质支气管镜检查，并使用球囊导管成功取出骨折的套管。适当的清洁、常规仔细检查以及定期更换TT可能有助于预防这种并发症。
