支气管-食管瘘大量误吸导致心脏骤停1例。

Gustavo Lagrotta, Mina Ayad, Ifrah Butt, Mauricio Danckers
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引用次数: 0

摘要

背景:成人气管和支气管食管瘘及其潜在并发症在临床实践中很少遇到,但具有显著的发病率和死亡率。病例总结:我们提出一个39岁的健康男子谁提出了我们的医院后,在自杀企图摄入排水管清洁剂物质。他在重症监护室期间意外地心脏骤停。患者出现了广泛的气管-支气管-食管节段性瘘道,导致胃和十二指肠内容物突然和明显的误吸事件,随后出现心肺骤停。内镜下对瘘道延伸的评估证明,尽管最初对他的腐蚀性损伤进行了食管支架置入术,但病情进展缓慢且延迟。结论:本病例报告的目的是与读者分享气管-支气管-食管瘘的可怕的自然史及其延迟进展。我们的目的是说明内窥镜检查的陷阱,并提供进一步的危重监护监测和管理策略的认识,以减少其发病率和死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Cardiac arrest due to massive aspiration from a broncho-esophageal fistula: A case report.

Cardiac arrest due to massive aspiration from a broncho-esophageal fistula: A case report.

Cardiac arrest due to massive aspiration from a broncho-esophageal fistula: A case report.

Cardiac arrest due to massive aspiration from a broncho-esophageal fistula: A case report.

Background: Tracheo and broncho esophageal fistulas and their potential complications in adults are seldom encountered in clinical practice but carries a significant morbidity and mortality.

Case summary: We present a case of a 39-year-old otherwise healthy man who presented to our hospital after ingestion of drain cleaner substance during a suicidal attempt. He unexpectedly suffered from cardiac arrest during his stay in the intensive care unit. The patient had developed extensive segmental trachea-broncho-esophageal fistulous tracks that led to a sudden and significant aspiration event of gastric and duodenal contents with subsequent cardiopulmonary arrest. Endoscopic evaluation of extension of fistulous track proved a slow and delayed progression of disease despite initial management with esophageal stenting for his caustic injury.

Conclusion: The aim of this case presentation is to share with the reader the dire natural history of trachea-broncho-esophageal fistulas and its delayed progression. We aim to illustrate pitfalls in the endoscopic examination and provide further awareness on critical care monitoring and management strategies to reduce its morbidity and mortality.

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