一名年轻患者因长期经口气管插管出现双侧舌坏死：病例报告

Bilateral Tongue Necrosis in a Young Patient as a Complication of Prolonged Oral Endotracheal Intubation: A Case Report.

作者信息

ALGhabra Yasser, Hamdi Mohammad, Kammasha Ahmad, Nashawi Faez Ebrahim, Ashreefa Reem, Yousfan Abdulmajeed

机构信息

Department of Otolaryngology-Head and Neck Surgery, Al-Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria.

M.D, Faculty of Medicine, Aleppo University, Aleppo, Syria.

出版信息

Ear Nose Throat J. 2023 Nov 24:1455613231211309. doi: 10.1177/01455613231211309.

DOI:10.1177/01455613231211309

PMID:37997645

Abstract

We present a unique case of complete tongue necrosis caused by a compression of an endotracheal tube (ETT). A 39-year-old female underwent endotracheal intubation secondary to respiratory failure following sudden altered mental status. Tongue swallowing developed and worsened with obvious pallor on examination. Extensive ischemic changes with tongue necrosis developed dramatically due to the compression during her prolonged intubation. This case of tongue necrosis highlights the importance of proper ETT sizing and positioning during prolonged intubation in ICU patients.

摘要

我们报告了一例因气管内插管（ETT）压迫导致完全性舌坏死的独特病例。一名39岁女性因突发精神状态改变继发呼吸衰竭而接受气管插管。出现舌吞咽并逐渐加重，检查时可见明显苍白。由于长时间插管期间的压迫，舌部出现广泛的缺血性改变并急剧发展为坏死。这例舌坏死病例凸显了在重症监护病房（ICU）患者长时间插管期间正确选择ETT尺寸和放置位置的重要性。