在患有疹简单病毒1型 (HSV-1) 气管炎的患者中进行输液后气管断裂
Metri Haddaden1, Louay H Aldabain2, Dina Shaban3
1Pulmonary and Critical Care, University of Oklahoma Health Sciences Center, Oklahoma, USA.
Cureus
|November 18, 2024
概括
简单疹病毒1型 (HSV-1) 气管炎可能导致输管术后气管口破裂. 这一案例突出了糖尿病患者罕见的并发症,强调了快速诊断和抗病毒治疗的有利结果.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
背景情况:
- 简单疹病毒1型 (HSV-1) 通常会导致口腔疹,但可能导致罕见的并发症,如气管支气管炎,特别是在免疫功能低下的人群中.
- 与HSV-1气管炎相关的炎症可能会增加输管后气管破裂的风险,这是一种严重的病症,由皮下和腹腔内气和肺胸炎标志着.
研究的目的:
- 在患有HSV-1气管炎的患者中,在输管后报告一种罕见的阳性气管损伤和破裂的病例.
- 为了强调考虑HSV-1感染在患者呈现呼吸道并发症后输入管道后的重要性.
主要方法:
- 一份病例报告详细介绍了一名70岁的女性患者,患有糖尿病和多焦点肺炎,在输管治疗后出现了呼吸道损害.
- 诊断程序包括临床评估,支气管镜检查显示气管损伤和HSV-1生长,以及活检确认.
- 治疗包括针对II级气管损伤的抗病毒疗法和气管切除术.
主要成果:
- 患者经历了输出管后的流,复杂的再输入管与低氧化,肺气血,肺,肺胸,心肺骤停.
- 支气管镜检查证实了气管损伤和HSV-1感染.
- 患者在用抗病毒疗法和气管切除术进行保守管理后恢复过来.
结论:
- 这一案例说明了与HSV-1气管炎相关的阳性气管损伤的罕见实例.
- 诊断依赖于临床怀疑,成像和支气管镜检查.
- 气管损伤的管理取决于严重程度,在这种情况下,保守的治疗和抗病毒疗法会产生积极的结果.
相关概念视频
01:28Tracheostomy: Procedure and Tubes
415
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
415
01:22Trachea
1.6K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
1.6K
01:17Endotracheal Intubation II: Nursing Management
493
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
493
01:15Endotracheal Intubation I: Procedure
769
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
769
01:24Endotracheal Tube Extubation
422
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
422
01:21Tracheostomy Decannulation
115
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
115