對氣管狹窄的病人放置金屬材質的氣管支架後引起致命的兩側支氣管堵塞之病例報告

Bilateral Severe Bronchial Obstruction after Metallic Tracheal Stent Insertion for Tracheal Stenosis — A Case Report

可擴張性的氣管支架已逐漸使用在惡性腫瘤所引起氣管狹窄的病人身上。它提供除了手術切除外，另一較不侵犯性的選擇。病人身體狀況通常都能夠接受氣管支架的置放，且放置後氣管狹窄的症狀也可穫得不同程度的改善，但還是有一些併發症的報告提出。我們在此報告一位因食道癌侵犯而造成氣管狹窄的病人，進行氣管支架置放時，不幸卻引起致命的兩側支氣管堵塞之病例。並計論其可能發生原因及預防的方式。

Metallic wire expandable stents are increasingly used to alleviate tracheal obstruction due to malignancies. Patients usually tolerate these stents well and benefit from good to excellent palliation of their symptoms. Nevertheless, some miserable complications have also come to our notice. We report here an unfortunate case in whom severe bilateral main bronchial obstruction occurred immediately after the insertion of a Wall-stent over the tracheal stenosis.