题名

胸腔病例（三三七）非惡性的中央氣道阻塞

DOI

10.6666/ClinMed.2017.79.6.067

作者

古璿正；洪緯欣；蕭慈慧；張西川

关键词

中央氣道阻塞(central airway obstruction, CAO) ； 氣管狹窄(tracheal stenosis) ； 非惡性中央氣道阻塞(non-malignant central airway obstruction)

期刊名称

臨床醫學月刊

卷期/出版年月

79卷6期（2017 / 06 / 30）

页次

359 - 364

内容语文

繁體中文
中文摘要

中央氣道阻塞(central airway obstruction, CAO)是一種大氣道阻塞疾病，中央氣道阻塞會造成呼吸道無法通氣，使病患容易出現呼吸窘迫的情形，是一種容易造成生命威脅(life-threatening)的疾病，分為惡性和非惡性的中央氣道阻塞。非惡性的中央氣道阻塞的種類最常見為異物吸入(foreign body aspiration)以及氣管支氣管軟化症(tracheobronchomalacia)，較少見的為乳頭狀瘤(papilloma或papillomatosis)、氣管內缺陷瘤(endobronchial hamartomas)、血管環(vascular rings)以及氣管內感染(endobronchial infections)等。此病人為感染造成的中央氣道阻塞，本文主要介紹非惡性中央氣道組塞的診斷以及治療。
主题分类 醫藥衛生 > 基礎醫學
醫藥衛生 > 社會醫學
参考文献
  1. Brantigan, CO,Grow, JB, Sr(1976).Cricothyroidotomy: elective use in respiratory problems requiring tracheotomy.J Thorac Cardiovasc Surg,5,462-463.
  2. Diehl, JL,Peigne, V,Guérot, E(2011).Helium in the adult critical care setting.Ann Intensive Care,1,24.
  3. Ernst, A,Feller-Kopman, D,Becker, HD(2004).Central airway obstruction.Am J Respir Crit Care Med,169,1278-1297.
  4. Grillo, HC(2003).Development of tracheal surgery: a historical review. Part 2: Treatment of tracheal diseases.Ann Thorac Surg,75,1039-1047.
  5. Grimmer, JF,Gunnlaugsson, CB,Alsberg, E(2004).Tracheal reconstruction using tissue-engineered cartilage.Arch Otolaryngol Head Neck Surg,130,1191-1196.
  6. LoCicero, J,Costello, P,Campos, CT(1996).Spiral CT with multiplanar and three-dimensional reconstructions accurately predicts tracheobronchial pathology.Ann Thorac Surg,62,811-817.
  7. Noppen, M,Schlesser, M,Meysman, M(1997).Bronchoscopic balloon dilatation in the combined management of postintubation stenosis of the trachea in adults.Chest,112,1136-1140.
  8. Pathak, V,Shepherd, RW,Shojaee, S(2016).Tracheobronchial tuberculosis.J Thorac Dis,8,3818-3825.
  9. Zeitels, SM,Barbu, AM,Landau-Zemer, T(2011).Local injection of bevacizumab (Avastin) and angiolytic KTP laser treatment of recurrent respiratory papillomatosis of the vocal folds: a prospective study.Ann Otol Rhinol Laryngol,120,627-634.
  10. Zias, N,Chroneou, A,Tabba, MK(2008).Post tracheostomy and post intubation tracheal stenosis: report of 31 cases and review of the literature.BMC Pulm Med,8,18.
print cancel