PDF(Pubmed)
Abstract：
Tracheobronchomalacia (TBM) is a progressive weakening of the airways, leading to collapse and dyspnoea. TBM can be misdiagnosed when multiple chronic conditions accompany it. Tracheobronchoplasty (TBP) is indicated for severe symptomatic TBM, diagnosed by bronchoscopy and CT thorax. We report the case of a patient who underwent tracheal resection and reconstruction for continuing dyspnoea post argon therapy, TBP and a failure to tolerate extracorporeal membrane oxygenation-assisted Y-stent insertion. Relevant background history includes asthma, sleep apnoea, reflux, cardiomyopathy and a high body mass index. Bronchoscopy postreconstruction showed patent airways. Airway reconstruction was a viable management option for this patient\'s TBM. TBP is a treatment option for TBM. In this case, tracheal resection was required to sustain benefit. In addition, surveillance bronchoscopies will be carried out every year.
摘要：
气管支气管软化症（TBM）是气道的逐渐减弱，导致崩溃和呼吸困难。当多种慢性疾病伴随时，TBM可被误诊。气管支气管成形术（TBP）适用于严重症状TBM，经支气管镜和胸部CT诊断。我们报告了一例因氩治疗后持续呼吸困难而接受气管切除和重建的患者，TBP和不能耐受体外膜氧合辅助Y型支架插入。相关背景病史包括哮喘，睡眠呼吸暂停,反流,心肌病和高体重指数。支气管镜检查术后显示气道专利。气道重建是该患者TBM的可行管理选择。TBP是TBM的治疗选择。在这种情况下,需要进行气管切除以维持获益。此外,每年都会进行支气管镜检查。
