经永久性气管造口插入杜蒙Y形支架，无需使用硬质支气管镜。
Insertion of a Dumon Y-stent via a permanent tracheostoma without using a rigid bronchoscope.
作者信息
Hayashi Kazuki, Motoishi Makoto, Sawai Satoru, Hanaoka Jun
机构信息
Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Otsu, Japan.
Division of General Thoracic Surgery, Mitsubishikyoto Hospital, Kyoto, Japan.
出版信息
BMJ Case Rep. 2018 Nov 28;11(1):e226500. doi: 10.1136/bcr-2018-226500.
A 63-year-old man who had received a permanent tracheostoma after oesophageal cancer surgery developed fistulas in the left and right main bronchi and suffered repeated aspiration pneumonia. Placing an indwelling Dumon Y-stent using a rigid bronchoscope is an option to treat fistula and stenosis at the tracheal bifurcation, but in some cases, it may be difficult to use a rigid bronchoscope in patients with a permanent tracheostoma. In this study, we report placing a Dumon Y-stent in a patient with a permanent tracheostoma using a specially modified stent and forceps instead of a rigid bronchoscope.
一名63岁男性在食管癌手术后接受了永久性气管造口术，其左右主支气管出现瘘口，并反复发生吸入性肺炎。使用硬质支气管镜放置一枚留置的杜蒙Y形支架是治疗气管分叉处瘘口和狭窄的一种选择，但在某些情况下，对于有永久性气管造口术的患者使用硬质支气管镜可能会有困难。在本研究中，我们报告了使用一种经过特殊改良的支架和钳子，而非硬质支气管镜，为一名有永久性气管造口术的患者放置杜蒙Y形支架的情况。
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