Fletcher E C, Nickeson D, Costarangos-Galarza C
Department of Medicine, Veterans Administration Medical Center, Houston.
Chest. 1988 Feb;93(2):438-9. doi: 10.1378/chest.93.2.438.
A 50 percent or greater savings in oxygen usage and aesthetic benefits leading to increased compliance are reasons for increasing use of the transtracheal catheter for administration of home supplemental oxygen. Minor complications of the procedure are common and include catheter dislodgement, bronchospasm, subcutaneous emphysema, bleeding at the catheter site, as well as hemoptysis and wound infections. Rare complications include retroflexion of the catheter into the upper trachea from coughing, and fracture of the catheter with loss in the trachea. New, improved catheters and detailed descriptions for operator use may reduce the frequency of these complications. This report describes a potentially serious complication of a transtracheal catheter system which resulted despite appropriate use and care of the catheter.
经气管导管用于家庭补充氧气给药的使用量增加，原因在于其可节省50%或更多的氧气用量，且具有美学优势，能提高患者的依从性。该操作的轻微并发症很常见，包括导管移位、支气管痉挛、皮下气肿、导管部位出血，以及咯血和伤口感染。罕见并发症包括因咳嗽导致导管向上气管内逆行弯曲，以及导管断裂并遗留在气管内。新型、改良的导管以及针对操作人员使用的详细说明可能会降低这些并发症的发生率。本报告描述了一例经气管导管系统潜在的严重并发症，尽管对导管进行了恰当使用和护理，但仍发生了该并发症。
