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KMID : 0383819800270040169
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Tuberculosis and Respiratory Diseases
1980 Volume.27 No. 4 p.169 ~ p.172
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Tracheal Stenosis Following Assisted Ventilation
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김성규/Sung Kyu Kim
오승헌/김영수/이원영/김기호/Seung Hun Oh/Young Soo Kim/Won Young Lee/Ki Ho Kim
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Abstract
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Tracheal stenosis in patients who have been treated for respiratory failure by assisted
ventilation withcuffed tracheostomy tube have been increasingly recognized since late
1960s.
Assisted ventilation with endotracheal intubation or tracheostomy are widely used for
the patient who was admitted with drug intoxication including CO intoxication or acute
respiratory insufficiency. Among the variable complications including tracheal stenosis,
tracheal erosion, hemorrhage or aspiration pneumonia, advanced tracheal stenosis gives a
serious clinical manifestation which can only be corrected by surgical intervention in
many occasions.
Here we presented a case of parathion intoxication who was admitted to Department
of Internal Medicine and treated with endotracheal intubation for 5 days and followed by
assisted ventilation with tracheostomy for 7 days.
Bronchofiberscopic examination disclosed severe tracheal stenosis at the level of cuff
site. On the 30th hospital day, 4cm of the tracheal segment was reseated and
reconstructed with excellent result under extracoporeal circulation.
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