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慢性阻塞性肺疾病急性加重期短期气管插管后气管狭窄1例
Authors Li JZ , Feng Q, Liu YF, Zheng JN
Received 29 October 2024
Accepted for publication 6 April 2025
Published 18 April 2025 Volume 2025:20 Pages 1143—1147
DOI https://doi.org/10.2147/COPD.S503495
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Professor Min Zhang
摘要：插管后气管狭窄（PITS）是气管插管的一种罕见但严重的并发症。插管时间是PITS的关键因素，插管时间少于48小时的气管狭窄较为罕见。在特定个体中可能会被误诊，特别是在合并慢性阻塞性肺疾病（COPD）或哮喘的人群中。本病例报告描述了一名COPD患者，由于慢性阻塞性肺疾病急性加重和肺性脑病，患者接受了28小时的有创通气治疗。拔管后，患者出现呼吸窘迫，CT及床边气管镜显示气管导管套囊区域的气管狭窄，Myer-Cotton分级III度，经支气管镜冷冻治疗成功解除狭窄。