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首页> 外文期刊>Journal of bronchology: dedicated to the art and science of bronchoscopy and related disciplines >Tracheostomy Pseudotract
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Tracheostomy Pseudotract

机译：气管切开术

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摘要

A 75-year-old man underwent a redo coronary artery bypass surgery with mitral valve repair. His postoperative course was complicated by respiratory failure requiring reintubation and subsequent tracheostomy 1 month after surgery. He was weaned from ventilatory support within 2 weeks after the latter procedure. Because he was breathing spontaneously, his tracheostomy tube was plugged when he began his rehabilitation. His tracheostomy was changed and downsized on the regular nursing floor. Several hours after the tube change, the patient experienced difficulty in clearing his secretions. Despite multiple attempts, the respiratory therapist was unable to get a good return during suction through the tracheostomy tube. Emergency bronchoscopy through the tracheostomy stoma revealed tissue occluding the lumen.
机译：一名75岁的男子接受了二尖瓣修复的冠状动脉搭桥手术。他的术后病因并发呼吸衰竭，需要重新插管，并在术后1个月进行气管切开术。后者手术后2周内，他从呼吸支持中断奶。因为他是自发呼吸，所以在他开始康复时，气管切开插管被堵塞了。他的气管切开术在常规护理室进行了更换并缩小了尺寸。换管后数小时，患者难以清除分泌物。尽管进行了多次尝试，呼吸治疗师在通过气管切开术导管进行抽吸期间仍无法获得良好的回报。通过气管造口术的紧急支气管镜检查发现组织阻塞了管腔。

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