气管切开术后严重呼吸困难的罕见原因-负压肺水肿

IF 0.7 Q4 OTORHINOLARYNGOLOGY Turkish Archives of Otorhinolaryngology Pub Date : 2023-09-01 Epub Date: 2023-11-14 DOI:10.4274/tao.2023.2023-4-13
Kemal Koray Bal, Ozan Balta, Ceren Gökçe Coşkun Ekiz, Harun Gür, Onur İsmi, Eylem Sercan Özgür
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引用次数: 0

摘要

深颈部感染是严重的情况,并可出现急性上呼吸道阻塞。我们治疗的首要任务是确保气道安全,可能需要气管切开术来克服上呼吸道阻塞。气管切开术后持续的呼吸困难提示深颈部感染引起的上呼吸道阻塞患者有严重的肺部病变。阻塞性睡眠呼吸暂停患者经气管切开术或上呼吸道手术后缓解的急性/慢性梗阻可转为严重呼吸困难伴肺水肿。在这个报告中,我们提出一个46岁的男性患者负压肺水肿作为气管切开术的并发症。气管切开术是由于严重的上呼吸道阻塞继发于深颈部感染。根据目前的文献,讨论了在气管切开后持续呼吸困难的这种罕见实体的早期诊断和及时治疗的重要性。
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Rare Cause of Severe Dyspnea After Tracheotomy-Negative Pressure Pulmonary Edema.

Deep neck infections are serious conditions and can present with acute upper airway obstruction. Our priority in the treatment is to ensure airway safety, and tracheotomy may be needed to overcome the upper airway obstruction. Unceasing dyspnea after tracheotomy should suggest serious pulmonary pathologies in patients with upper airway obstruction due to deep neck infection. Acute/chronic obstruction resolved after tracheotomy or upper respiratory tract surgical procedures of obstructive sleep apnea patients can turn into severe dyspnea with pulmonary edema. In this report, we present a 46-year-old male patient with negative pressure pulmonary edema as a complication of tracheotomy. The tracheotomy was performed due to severe upper airway obstruction secondary to a deep neck infection. The importance of early diagnosis and prompt treatment of this rare entity after unceasing dyspnea despite tracheotomy is discussed in the light of the current literature.

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