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病例男,18岁,火焰烧伤全身4小时后入院。查烧伤面积90%,Ⅲ度88%,伴中度吸入性损伤及休克。入院后立即行气管切开术,切开部位为3～4气管环,插入6号银质气管套管。伤后34小时因颈部Ⅲ度烧伤极度肿胀将套管挤出,难以置回,即经气管切口在直接喉镜下行气管插管。伤后第5天拔除气管导管,重新置入金属气管套管。因翻身俯卧时套管反复脱出,2天后以绷带包扎固定之。气管切开术后第10天,咳嗽较剧,套管内咳出少量鲜血,5小时后突然从套管及其周围喷
Male, 18 years old, was admitted to the hospital after 4 hours of flame burn. Check the burn area of 90%, Ⅲ degree 88%, with moderate inhalation injury and shock. Immediately after admission, tracheotomy was performed and the site of 3 ~ 4 tracheostomy was cut. A No. 6 silver tracheal cannula was inserted. Thirty-four hours after injury due to severe swelling of the neck Ⅲ degree the casing extrusion, it is difficult to set back, that is, tracheal incision in the direct laryngoscope tracheal intubation. On the fifth day after injury, the tracheal tube was removed and replaced with a metal tracheal tube. Due to overuse prone prone casing, 2 days after bandage bandage fixed. 10 days after tracheotomy, cough more drama, a small amount of blood cough within the cannula, 5 hours after the sudden burst from the casing and around