Vorakunthada Yuttiwat, Lilitwat Weerapong
Texas Tech University Health Sciences Center, Lubbock, TX, USA.
University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Respir Med Case Rep. 2017 Dec 15;23:66-67. doi: 10.1016/j.rmcr.2017.12.007. eCollection 2018.
Tracheobronchomalacia (TBM) is characterized by weakness of cartilaginous supporting structures of tracheal and bronchial walls, resulting in central airway obstruction. It is a rare condition that can occur after prolonged intubation. Here, we report a 26-year-old, alcoholic male who had TBM, mild subglottic, and severe tracheal stenosis following 2 weeks of intubation. Subglottic and tracheal stenosis can occur after extubation but TBM is uncommon. The exact mechanism is still unknown but post-intubation TBM is a life-threatening condition with high morbidity and mortality if left untreated. Early detection and timely management can improve the outcome of patients.
气管支气管软化症（TBM）的特征是气管和支气管壁的软骨支撑结构薄弱，导致中央气道阻塞。这是一种罕见的疾病，可发生在长期插管后。在此，我们报告一名26岁的男性酗酒者，在插管2周后出现了气管支气管软化症、轻度声门下狭窄和严重的气管狭窄。声门下和气管狭窄可在拔管后发生，但气管支气管软化症并不常见。确切机制尚不清楚，但插管后气管支气管软化症是一种危及生命的疾病，如果不治疗，发病率和死亡率都很高。早期检测和及时处理可改善患者的预后。
