気管気管支軟化症に壊死性気管炎を合併した重症心身障害者の１例

• 坂本 慶

  国立病院機構福岡東医療センター小児科

• 宇梶 光太郎

  北九州市立医療センター小児科

• 水野 勇司

  国立病院機構福岡東医療センター小児科

書誌事項

タイトル別名

• A Case of Necrotizing Tracheitis and Tracheobronchomalacia in a Patient with Severe Motor and Intellectual Disabilities

抄録

We report a 23-year-old male patient with severe motor and intellectual disabilities due to sequelae of intracranial hemorrhage, who have had suffered from pneumonia with pleural effusion after influenza infection followed by mechanical ventilation. This patient also had complicationo f tracheobronchomalacia P. ositive pressure ventilation in addition to thoracheocentesisw as necessaryf or the drainage of pleural effusion. Abrupt hypooxygenation during mechanical ventilation revealed the presence of necrotizing tracheitis, which was improved with removal of necrotic tissues by bronchoscopy and inhalation of steroid thereafter. To relieve the compression which worsened the tracheobronchomalacia, partial resection of the sternal bone was performed. This patient died of complications after operation. This case suggests the importance of accurate diagnosis and treatment of the mechanical ventilation complications including necrotizing tracheitis and tracheobronchomalaciaw hich may be life-threating.

収録刊行物

• 脳と発達

  脳と発達 40 (4), 319-323, 2008

  THE JAPANESE SOCIETY OF CHILD NEUROLOGY

キーワード

• 重症心身障害者
• 気管切開合併症
• 気管気管支軟化症
• 壊死性気管炎

詳細情報

• CRID: 1390001204552725888
• NII論文ID: 130004184020
• NII論文ID: 10024432540
• NII書誌ID: AN0020232X
• DOI: 10.11251/ojjscn1969.40.319
• ISSN: 18847668
• ISSN: 00290831
• Web Site: https://search.jamas.or.jp/link/ui/2008259356
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可