插管后一周内出现气管狭窄:病例报告

Q2 Nursing
Aynalem Befkadu, Sara Timerga
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引用次数: 0

摘要

插管后气管狭窄是指气管腔狭窄,主要是由于气管内插管相关问题造成的。这种先天性并发症通常发生在长时间插管后。然而,本病例报告显示,即使插管不到一周,也会发生严重的气管狭窄,而且可能会被误诊为支气管哮喘,正如该患者首次遇到的情况一样。该病例是一名 32 岁的女性患者,因癫痫状态插管入住重症监护室。她插管 3 天后出院回到内科病房。一个月后,她出现呼吸困难和呼吸困难,被送入医院。三维 CT 扫描显示,气管下段狭窄,长度为 29 毫米,壁厚 8 厘米。对狭窄处进行了手术切除和吻合治疗。这表明,早期插管相关气管狭窄的发生会模仿肺部问题的表现。因此,如果患者插管的时间在可接受的范围内,就并发症的可能性、体征和症状对患者进行咨询,并尽早入院,将有助于早期治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Occurrence of post intubation tracheal stenosis within a week of intubation: A case report

Post intubation tracheal stenosis is narrowing of tracheal lumen mainly due to endotracheal intubation associated problems. This iatrogenic complication commonly occurs after prolonged intubation. However, this case report revealed that severe tracheal stenosis could occur even after intubation last less than a week and can be misdiagnosed as bronchial asthma as first encountered with the patient. The case was 32 year old female patient who was admitted to ICU intubated for the management of status epilepticus. She was intubated for 3 days and discharged to medical ward. One month later, she experienced dyspnea and difficulty for breathing and admitted to the hospital. The three-dimensional CT scan showed trachea stenosis of 29 mm length with 8 cm wall thickness at the lower tracheal level. The stenosis was treated surgically with resection and anastomosis. This evidenced showed the occurrence of early intubation-related tracheal stenosis that mimic pulmonary problem presentation. As a conclusion if patient intubated for acceptable duration of time, patient consultation for the probability of the complications, sign and symptom and early admission will help in early treatment

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来源期刊
Perioperative Care and Operating Room Management
Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing
CiteScore
1.30
自引率
0.00%
发文量
52
审稿时长
56 days
期刊介绍: The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.
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