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体外膜肺氧合(ECMO)下的蒙哥马利 T 型管插入术在完全声门下狭窄和严重下气管塌陷患者中的应用。

Montgomery T-Tube Insertion Under ECMO in a Patient With Complete Subglottic Stenosis and Severe Lower Tracheal Collapse.

机构信息

Department of Respiratory and Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, China.

出版信息

Ear Nose Throat J. 2023 May;102(5):NP223-NP225. doi: 10.1177/01455613211006010. Epub 2021 Mar 25.

Abstract

The treatment of complete subglottic stenosis (SGS) remains a challenge due to anatomic and technological limitations. Placement of the Montgomery T-tube is an effective treatment option. For complete SGS patient combined with lower trachea collapse, the ventilation management during the T-tube insertion process is more complicated. Here, we report a case with complete SGS combined with severe lower trachea collapse, which was successfully managed with T-tube insertion under extracorporeal membrane oxygenation.

摘要

由于解剖和技术限制,完全声门下狭窄(SGS)的治疗仍然是一个挑战。放置蒙哥马利 T 型管是一种有效的治疗选择。对于完全 SGS 患者合并下气管塌陷,T 型管插入过程中的通气管理更加复杂。在此,我们报告了一例完全 SGS 合并严重下气管塌陷的病例,该病例在体外膜氧合下成功地通过 T 型管插入进行了治疗。

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