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长期气管插管与气管造口术的优缺点已有过许多报道。在定期更换导管情况下,仍有些并发症,且随着时间延长,并发症不断增多病情加重。我院因特殊情况处理一例因脑基底动脉梗塞致呼吸,循环衰竭长期行气管插管呼吸支持一例,经长期多方努力,病程中一直未恢复自主呼吸,最终因循环衰竭抢救无效死亡。心跳停止后拔出气管导管,经纤维支气管镜检:气管内壁苍白。少许脓苔,确未见明显溃疡灶及坏死灶。病程中也未出现过呼吸系统感染征象。现报告如下:1 临床资料患者:男,61岁,体重75kg,身长178cm。96年2
Long-term tracheal intubation and tracheostomy advantages and disadvantages have been many reports. In the case of regular catheter replacement, there are still some complications, and as time goes by, the complication is increasing. In our hospital, one case of long-term endotracheal intubation due to cerebral basilar artery infarction caused by cerebral infarction caused by cerebral infarction, was treated for one case. After long-term and multi-step efforts, spontaneous breathing was not restored in the course of the disease and finally died of circulatory failure. Pull out the tracheal catheter after the heartbeat stopped by the fiberoptic bronchoscopy: pale tracheal wall. A little pus moss, indeed no obvious ulcer lesions and necrotic lesions. No signs of respiratory infection have been seen in the course of the disease. Now report as follows: 1 clinical data patients: male, 61 years old, weight 75kg, length 178cm. 96 years 2