氣管造瘻術後氣管無名動脈瘻管的病例報告

Tracheo-innominate Artery Fistula after Tracheostomy A Case Report

氣管無名動脈瘻管在氣管造瘻術是一個罕見但是致命的併發症。在沒有外科手術治療下，並沒有存活的案例。我們報告一個未被診斷出來有氣管無名動脈瘤的病人，在從氣管造瘻管更換成口管時發生大量氣道出血。我們強調的重點是當任何病人有氣管造瘻術後的氣管造瘻口出血，都必須高度懷疑無名動脈瘻管的可能。

Tracheo-innominate artery fistula (TIF) is a rare but fatal complication after tracheostomy. There are no reports of survival without surgical intervention. We report a patient with an undiagnosed TIF who suffered massive bleeding from tracheostomy when we replaced the tracheostomy tube with an oral endotracheal tube. We emphasize the importance of keeping a high suspicion toward a possible TIF in any patient with bleeding from the tracheostomy site.