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首页> 外文期刊>Equine Veterinary Education >Tracheal necrosis as a fatal complication of endotracheal intubation
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Tracheal necrosis as a fatal complication of endotracheal intubation

机译：气管坏死是气管内插管的致命并发症

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摘要

This case report describes the death of a yearling Thoroughbred colt due to segmental severe necrotising tracheitis with stenosis of the tracheal lumen, 19 days after endotracheal intubation for elective endoscopic surgery. The stenosis of the trachea leading to asphyxiation was caused by an inflammatory process accompanied by massive accumulation of necrotic material, fibrinous inflammatory exudate, oedema and granulation tissue. The cause of this inflammation was likely to be a bacterial infection secondary to traumatic damage of the tracheal mucosa. Given the clinical history and location of the lesion, the endotracheal tube used for general anaesthesia was hypothesised to be responsible for this damage. Delayed tracheal necrosis as a fatal complication of endotracheal intubation has not previously been described in the horse and should be considered as a potential catastrophic consequence following relatively innocuous clinical signs.
机译：该病例报告描述了在气管插管进行选择性内窥镜手术后第19天，由于节段性严重坏死性气管炎伴气管腔狭窄，一岁纯种马驹死亡。导致窒息的气管狭窄是由炎性过程引起的，伴有大量坏死物质，纤维状炎性渗出液，水肿和肉芽组织的积累。该炎症的原因很可能是继发于气管粘膜创伤性损伤的细菌感染。考虑到病灶的临床病史和位置，假设用于全身麻醉的气管插管是造成这种损害的原因。延迟气管坏死是气管插管的致命并发症，以前尚未在马匹中进行过描述，应认为是相对无害的临床体征后潜在的灾难性后果。

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