[气管切开术后多结节性甲状腺肿致急性上气道梗阻]
[Acute upper airway obstruction caused by a multinodular goitre after tracheotomy].
作者信息
Abdel-Halim Chadi Nimeh, Lange Bibi
出版信息
Ugeskr Laeger. 2017 Apr 3;179(14).
PMID:28416071
Abstract
This case report illustrates how a multinodular goitre caused acute airway obstruction in a multitrauma 66-year-old male after tracheotomy. The patient had no symptoms of the goitre before the tracheotomy but developed subglottic airway obstruction at the time of decannulation. He underwent a subacute total thyroidectomy which removed the obstructive symptoms. A weakening of the tracheal tube followed by the tracheotomy possibly caused the tracheal stenosis in combination with the goitre.
摘要
本病例报告说明了一例多结节性甲状腺肿如何在气管切开术后导致一名66岁多发伤男性出现急性气道梗阻。该患者在气管切开术前无甲状腺肿症状，但在拔管时出现声门下气道梗阻。他接受了亚急性全甲状腺切除术，梗阻症状得以消除。气管切开术导致气管插管变弱，可能与甲状腺肿共同导致了气管狭窄。
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