继发性气管狭窄至脓肿区。

Q3 Medicine
Juan Carlos Medina, Jose Gabriel Yaryura Montero, Ricardo Navarro, Rodrigo Adrian Benavidez, Mario Alberto Cafaro
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引用次数: 0

摘要

目的:介绍气管狭窄、继发性至气道脓肿的病例,并描述其临床表现、诊断方法和治疗。临床病例:85岁患者因干咳、吸入性喉炎、呼吸困难就诊。物理测试:没有特殊情况。对颈部和胸部进行计算机断层扫描,报告气管光线水平下降。决定在重症监护病房住院,进行纤维支气管镜检查,并进行临界狭窄。使用火花塞进行机械扩张,在没有临床改善的情况下进行气管造口手术,在手术过程中,气管前壁出现脓肿,并进行引流。液体培养发展气假单胞菌。病人表现出良好的临床进展。术后72小时内出院,接受抗生素定向治疗。通过解决感染过程,手术后30天休息。气管造口术拔管后随访无异常。结论:气道脓肿作为气管狭窄的原因是罕见的,在本文发表时,文献中只有一个记录的病例。诊断需要适当的临床评估和谨慎使用补充研究,如支气管镜检查和断层扫描。治疗是多学科的,治疗方法将取决于患者的类型和狭窄的严重程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Tracheal stenosis secondary to airway abscess]

Objective: To present a case with tracheal stenosis, secondary to airway abscess, and describe its clinical presentation, diagnostic methods and treatment.

Clinical case: An 85-year-old patient presented with dry cough, inspiratory laryngeal stridor and dyspnea. Physical examination: No particularities. A computed tomography scan of the neck and chest was performed, which reported a decrease in the caliber of the tracheal lumen. It was decided to admit him to the intensive care unit, and fiberoptic bronchoscopy was performed where critical stenosis was observed. Mechanical dilation was performed with candles and in the absence of clinical improvement, a surgical tracheostomy was performed. During the procedure, an abscess was observed in the anterior tracheal wall, which was drained. Culture of the liquid development of Pseudomona Aeruginosa. The patient presented a good clinical evolution. being discharged 72 hours after surgery with targeted antibiotic treatment. Due to resolution of the infection process, it is decannulated 30 days after the surgical procedure. The follow-up after the extraction of the tracheostomy tube showed no particularities.

Conclusion: Airway abscesses as a cause of tracheal stenosis are uncommon; at the time of the article's presentation, there is only one recorded case in the available literature. The diagnosis requires a correct clinical evaluation and the judicious use of complementary studies such as bronchoscopies and computed axial tomography. Management is multidisciplinary, and the treatment modality will be determined by the type of patient and the severity of the stenosis.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
60
审稿时长
20 weeks
期刊介绍: The Journal of the Faculty of Medical Sciences is a scientific publication of the Secretariat of Science and Technology of the Faculty of Medical Sciences of the National University of Cordoba. Its objective is to disseminate and promote research work related to Medical and Biological Sciences. It publishes scientific works of national and international professionals on different topics related to health sciences from the field of medicine, nursing, kinesiology, diagnostic imaging, phonoaudiology, nutrition, public health, chemical sciences, dentistry and related.
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