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气管切开后3年以上发生气管内大出血很少见。我科遇到气管切开后长期带管致迟发性气管内大出血死亡2例。报告如下。 1 病例介绍 例1 男,76岁。因患喉癌于1991年5月在外院行扩大喉切除术(环状软骨及第一气管环切除),气管颈前造瘘,长期戴气管套管(金属10号套管)。术后曾行放疗,生活能自理。发病前1周有低热、咳嗽,吐脓痰较多,但无咳血。于1994年8月10日下午在田间劳动时,突然从造口喷射出大量鲜血,引起
Tracheal bleeding occurred more than 3 years after tracheal bleeding is very rare. Two cases of delayed tracheal hemorrhage were found in our department after prolonged tracheotomy. The report is as follows. A case introduction example 1 male, 76 years old. Due to laryngeal cancer in May 1991 in the external hospital expansion laryngectomy (annular cartilage and the first tracheal ring resection), tracheal neck anastomosis, long-term wearing tracheal tube (metal casing No. 10). After surgery radiotherapy, life can take care of themselves. 1 week before onset of fever, cough, spit pus sputum more, but no coughing blood. When working in the field on the afternoon of August 10, 1994, he suddenly jetted a large amount of blood from the stoma causing