PDF(Pubmed)
Abstract：
A tracheostomy tube (TT) is usually taken out in a well-planned and coordinated manner after the underlying condition that necessitated the procedure is resolved. The inadvertent removal or dislodgement of the TT from the stroma is known as accidental extubation or decannulation. This event may prove fatal in a stable patient. Like other respiratory procedures, tracheostomy with the long-term placement of tracheal tube comes with several risks, including scarring of the trachea, pneumothorax, tracheal rupture, and tracheoesophageal fistula. Other complications may include pneumomediastinum (PM) or the escape of air into the surrounding tissue. This may be attributed to several reasons, including mispositioning of the tracheal tube, barotrauma, or tracheal rupture. In some cases, PM presents with free air into cavities such as the thorax, peritoneum, or subcutaneous tissue. Although not fatal, it may require complex treatments such as ventilator management, high-flow oxygen, or, in some cases, surgical intervention. In this article, we describe a rare case of PM and generalized surgical emphysema due to mispositioning of the tracheal tube.
摘要：
气管造口术管（TT）通常在解决了需要该程序的基本条件后以精心策划和协调的方式取出。TT从基质中的意外移除或移位被称为意外拔管或拔管。该事件可能在稳定的患者中被证明是致命的。像其他呼吸手术一样，气管造口术与长期放置气管导管有几个风险，包括气管的疤痕,气胸,气管破裂,和气管食管瘘.其他并发症可能包括纵隔气肿(PM)或空气逸出进入周围组织。这可能归因于几个原因，包括气管导管的错位,气压伤,或者气管破裂.在某些情况下,PM与自由空气一起进入胸腔等空腔，腹膜,或皮下组织。虽然不是致命的,它可能需要复杂的治疗，如呼吸机管理，高流量氧气,或者，在某些情况下,手术干预。在这篇文章中,我们描述了一例罕见的PM和广泛性外科肺气肿，原因是气管导管错误放置。
