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Tracheoinnominate Artery Fistula: A Case Report of an Uncommon Complication of Tracheostomy

氣管無名動脈瘻管出血:少見的氣管切開術之併發症

摘要


一位裘馨氏肌肉萎縮症之21歲男性病人,氣切後發生氣管無名動脈瘻管出血卻以吐血為最初表現。氣管無名動脈瘻管出血是氣切術後可能造成生命危險的併發症,常發生在術後第一到第二週。立即手術治療存活率約在14.3%到53%。

並列摘要


A tracheoinnominate artery fistula case that presented as hematemesis in a 21 years old man with Duchenne muscle dystrophy. A tracheoinnominate artery fistula is a life threatening complication after surgical tracheostomy. The peak incidence is between the first and second week. Immediate management includes overinflation of tracheostomy cuff and/or direct digital compression. Surgery is the definitive treatment. The survival rate in patients who receive immediate surgical management ranges from 14.3% to 53%.

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