A Severely-Handicapped Child with a Tracheo-Innominate Artery Fistula; A Case Report
A Severely-Handicapped Child with a Tracheo-Innominate Artery Fistula; A Case Report
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患有气管无名动脉瘘的严重残疾儿童；
DOI：
10.5631/jibirinsuppl1986.1999.supplement101_182
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Y. Koike
中科院分区：
文献类型：
--
作者：
S. Nakagawa;Katsuhiko Nakamura;Junji Koda;K. Tamura;K. Sakamaki;Y. Koike
一名患有早期肌阵挛性癫痫性脑病的八岁男性接受了气管切开术以预防吸入性肺炎。气管造口术后34个月，气管造口突然大出血。然后通过CT扫描诊断为气管无名动脉瘘。手术关闭了瘘管，患者获救。同时进行声门关闭手术以预防吸入性肺炎。根据我们的经验和对文献的回顾，导管的类型和导管的插入时间似乎与瘘管的发生无关。
A eight year-old male with early myoclonic epileptic encephalopathy underwent a tracheostomy to prevent aspiration pneumonia. Thirty-four months after the tracheostomy, a sudden, massive hemorrhage occured from the tracheostoma. A tracheo-innominate artery fistula was then diagnosed by CT scanning. The fistula was closed surgically, and the patient was rescued. Glottic closure surgery was also performed to prevent aspiration pneumonia. Based on our experience and a review of the literature, the type of canula and the insertion period of the canula did not seem to be associated with the occurrence of a fistura.