Nicolai T, Huber R M, Pfeifer K J, Schneider K, Mantel K, Schött C
Klinikum Innenstadt der Ludwig-Maximilians-Universität, München, Germany.
Intensive Care Med. 1996 May;22(5):482-5. doi: 10.1007/BF01712172.
Tracheobronchial endoluminal reconstruction and stenting has become a valuable palliative tool in adults with intrathoracic tumors compromising the airways. Tracheobronchial balloon dilatation has been recently used in children and even neonates. We report a case of severe airway obstruction requiring emergency intubation and artificial ventilation in a 5-year-old child with intrathoracic recurrence of a rhabdomyosarcoma. Endoscopic balloon dilatation through the endotracheal tube with subsequent implantation of a non self-expanding metal mesh stent was used successfully, allowing extubation and discharge of the child from ICU.
气管支气管腔内重建及支架置入术已成为治疗成人胸内肿瘤侵犯气道的一种重要姑息治疗手段。气管支气管球囊扩张术近来已应用于儿童甚至新生儿。我们报告1例5岁横纹肌肉瘤胸内复发患儿，因严重气道梗阻需紧急插管及人工通气。通过气管内导管进行内镜球囊扩张，并随后植入非自膨式金属网状支架，获得成功，患儿得以拔除气管插管并转出重症监护病房。
