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2019年冠状病毒病大流行导致气管插管后气管狭窄的延迟诊断:一例报告

Delayed Diagnosis of Postintubation Tracheal Stenosis due to the Coronavirus Disease 2019 Pandemic: A Case Report.

作者信息

Ramalingam HariPrasad, Sharma Ankur, Pathak Vinay, Narayanan Balakrishnan, Rathod Darshana Kirtikumar

机构信息

From the Departments of Anesthesiology and Critical Care.

Trauma and Emergency (Anesthesiology), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

A A Pract. 2020 Jun;14(8):e01269. doi: 10.1213/XAA.0000000000001269.

Abstract

Tracheal stenosis is an uncommon but severe problem after long-term intubation. Here, we report a patient who came from a containment zone of coronavirus disease 2019 (COVID-19) and presented with complaints of breathlessness and cough. She was suspected to have an infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Later, she developed type 2 respiratory failure and carbon dioxide narcosis because of delay in diagnosis of severe, near-complete postintubation tracheal stenosis due to over suspicion of COVID-19 during the current pandemic.

摘要

气管狭窄是长期插管后一种不常见但严重的问题。在此,我们报告一名来自2019冠状病毒病(COVID-19)隔离区的患者,其主诉为呼吸急促和咳嗽。她被怀疑感染了严重急性呼吸综合征冠状病毒2(SARS-CoV-2)。后来,由于在当前疫情期间过度怀疑COVID-19,延误了对严重的、近乎完全的插管后气管狭窄的诊断,她发展为2型呼吸衰竭和二氧化碳麻醉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c93/7326325/6ded9aec5854/acc-15-e01269-g001.jpg

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