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患者王××,男,21岁。因极重型乙型脑炎,1982年8月4日住传染科病房。由于深昏迷,呼吸衰竭,下呼吸道分泌物梗阻,于8月5日行气管切开术。手术经过顺利,切开第3~4气管环,术后使用人工呼吸机。因吞咽功能障碍,插鼻胃管喂饲。11月11日~20日,相当于甲状软骨部位的颈部皮肤发生红肿,用抗生素后红肿消退。由于病情逐渐稳定,呼吸恢复正常,考虑拔除气管套管。12月5日试堵管失
Patient Wang × ×, male, 21 years old. Due to extremely severe Japanese encephalitis, August 4, 1982 live infectious disease ward. Due to deep coma, respiratory failure, obstruction of lower respiratory secretions, tracheotomy on August 5. Surgery was successful, cut the first 3 ~ 4 tracheal ring, postoperative use of artificial respirator. Due to swallowing dysfunction, nasogastric tube feeding. November 11 to 20, the equivalent of thyroid cartilage neck area of the skin swelling, redness with antibiotics subsided. As the condition gradually stabilized, breathing returned to normal, consider pulling the tracheal tube. December 5 test plug tube lost