Šatánková Monika, Brat Kristián, Merta Zdeněk, Šteffl Miloš
Vnitr Lek. 2018 Spring;64(3):314-320.
Postintubation tracheal stenosis (PITS) is one of the most frequent causes of lower airways obstruction. Usually, PITS is the consequence of prolonged intubation period, but may occur also after short-term intubation. Diagnosis may be difficult if stridor is not present and the post-extubation period is many years long. Bronchoscopy and CT scanning are the diagnostic gold standard. In some cases, lung function tests may also be helpful. Treatment options include conservative treatment, surgery and endoscopic methods. We present a case report of a 23 year old woman with exercise dyspnoea caused by PITS that was incorrectly treated for bronchial asthma during a 2-years long period. Key words: bronchoscopy - cardiopulmonary exercise testing - postintubation stenosis - tracheal stenosis.
气管插管后气管狭窄（PITS）是下呼吸道梗阻最常见的原因之一。通常，PITS是长时间插管的结果，但也可能发生在短期插管后。如果没有喘鸣且拔管后数年，诊断可能会很困难。支气管镜检查和CT扫描是诊断的金标准。在某些情况下，肺功能测试也可能有帮助。治疗选择包括保守治疗、手术和内镜方法。我们报告一例23岁女性病例，因PITS导致运动性呼吸困难，在长达两年的时间里被误诊为支气管哮喘并接受了错误治疗。关键词：支气管镜检查 - 心肺运动试验 - 插管后狭窄 - 气管狭窄
