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Korean J Crit Care Med > Volume 24(2); 2009 > Article
Korean Journal of Critical Care Medicine 2009;24(2): 87-91. doi: https://doi.org/10.4266/kjccm.2009.24.2.87
기관절개술 과거력을 가진 환자에서 기관 삽관 후 발생한 기관식도루 2예-증례 보고-
김승찬ㆍ하경원ㆍ왕준호ㆍ김세진ㆍ김원학ㆍ정소희ㆍ이우성*ㆍ한상돈†ㆍ전규락
건국대학교 충주병원 내과, *흉부외과, †신경과
Two Cases of Postintubation Tracheoesophageal Fistula in Patients with a History of Tracheostomy: Case Report
Seung Chan Kim, Kyung Won Ha, Joon Ho Wang, Se Jin Kim, Won Hak Kim, So Hee Jeong, Woo Sung Lee, Sang Don Han, Gyu Rak Chon
1Department of Internal Medicine, Chungju Hospital, Konkuk University, Chungju, Korea. medicor@kku.ac.kr
2Department of Cardiothoracic Surgery, Chungju Hospital, Konkuk University, Chungju, Korea.
3Department of Neurology, Chungju Hospital, Konkuk University, Chungju, Korea.
ABSTRACT
Common causes of acquired tracheoesophageal (T-E) fistula are blunt trauma on the neck or chest, malignancy, long-term mechanical ventilation, and post-intubation injury. Most of the cases are fatal due to severe respiratory infection. We experienced two cases of post-intubation T-E fistula in patients with a history of tracheostomy that developed earlier than usual. One case was caused by excessive cuff pressure and the other by avulsion injury during endotracheal intubation. We can get instructions from these cases that how to prevent T-E fistula because it is hard to treat and causes severe outcomes.
Key Words: intubation; tracheoesophageal fistula
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