Collard P, Freitag L, Reynaert M S, Rodenstein D O, Francis C
Pulmonary Division, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Thorax. 1996 Feb;51(2):224-6. doi: 10.1136/thx.51.2.224.
A case is described of tracheobronchomegaly progressing to extensive tracheomalacia, complicated by episodic choking, recurrent pulmonary infections, and irreversible hypercapnic respiratory failure. A Y-shaped tracheobronchial stent was placed endoscopically to splint the trachea open, with excellent clinical and physiological improvement. New stent designs may provide long term palliation in selected cases of diffuse tracheal collapse or stenosis, and offer an alternative to surgical repair.
描述了一例气管支气管巨大症进展为广泛性气管软化的病例,该病例并发发作性窒息、反复肺部感染及不可逆的高碳酸血症性呼吸衰竭。通过内镜置入一个Y形气管支气管支架以撑开气管,临床及生理状况得到显著改善。新型支架设计可能为部分弥漫性气管塌陷或狭窄病例提供长期姑息治疗,并为手术修复提供替代方案。