Endotracheal Intubation-Related Acute Tracheal Injury-Case Report

氣管插管所導致的急性氣管損傷

李彥憲(Yen-Hsien Lee) ； 范國聖(Kuo-Sheng Fan) ； 賴俊良(Chun-Liang Lai) ； 簡迺娟(Nai-Chuan Chien)

《重症醫學雜誌》 9卷1期 (2008/03) Pp. 52-58

https://doi.org/10.30035/TCCM.200803.0008

摘要

氣管插管所導致的氣管撕裂傷或破裂是少見但可能危及生命之嚴重併發症。本文所提出的案例乃是2006年爲期二個月時間內，四位女性於急診室接受緊急氣管插管所導致的氣管損傷。四位病患的症狀及胸部X光皆顯示皮下氣腫，也都接受緊急支氣管鏡檢查，結果均顯示氣管撕裂傷，其中二位病患接受外科手術治療，並證實有氣管破裂，另二位則接受內科療法。住院過程中，三位病患成功拔除氣管插管，一位病患則因原有疾病須持續依賴呼吸器。四位病患皆恢復良好。

關鍵字

急性氣管損傷 ； 氣管插管

並列摘要

Tracheal laceration or rupture is a rare but potentially life-threatening complication of endotracheal intubation. We present four female patients with tracheal laceration after emergent endotracheal intubation in the emergency department (ED) during a two-month period in 2006. The initial presentation was acute subcutaneous emphysema on physical examination, confirmed on chest radiograph. Prompt bronchoscopy was performed, and tracheal laceration was confirmed in all patients. Two of the patients underwent surgical repair without complication and tracheal rupture was proved. The other two patients received conservative management. During the hospital course, extubation was successful in three of the patients. One patient became ventilator dependent due to the underlying disease. All four patients recovered uneventfully.

並列關鍵字

Acute tracheal injury ； Endotracheal intubation