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Tracheo-Carotid Fistula Rupture with Massive Hemorrhage: A Case Report

氣管頸動脈間癭管伴隨大量出血:病例報告

摘要


氣管與附近大血管之間之癭管大出血是氣管造術的一個罕見且致命的併發症,若無及時的診斷與立即之救治,很快便能造成死亡。本文報告一位八十七歲女性病人,因長期氣管插管而接受氣管造口術,數月後因頸總動脈氣管間癭管破裂造成大出血緊急求診。由於血管脆弱一夾便碎,無法以止血箝和縫合止血,轉而以兩支導尿管插入頸動脈腔,打入水球撐住以阻斷血流來暫時止血,讓病人得以在血循環穩定狀態下,送至開刀房接受修手術。

並列摘要


Massive hemorrhage from a ruptured fistula between the trachea and a major cervical vessel is a rare but devastating complication of a tracheostomy. If not recognized and treated immediately, it can result in death. We report on a case of active bleeding from a ruptured tracheo-carotid fistula occurring in on 87-year-old female patient who had a tracheostomy. In order to stop the bleeding, a Foley balloon was temporarily inserted into the ruptured vascular lumen, which successfully stopped the bleeding. Subsequent definitive surgical repair was undertaken, and the patient recovered uneventfully.

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