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기관절개 상태로 가정에서 인공환기 중에 발생한 기관확장과 기관식도루
김병훈 ( Byoung Hoon Kim ),주민선 ( Min Sun Joo ),김유나 ( Yoo Na Kim ),신태림 ( Tae Rim Shin ),박상면 ( Sang Myeon Park ),김동규 ( Dong Gyu Kim ),심윤수 ( Yun Su Sim ) 대한내과학회 2014 대한내과학회지 Vol.87 No.1
Patients with tracheostomies requiring prolonged home mechanical ventilation are increasing in number rapidly. A tracheoesophageal fistula is a relatively unusual complication, but this case resulted in a fatal outcome. We describe a tracheoesophageal fistula with tracheal dilation in a 72-year-old female who had a prolonged tracheostomy and nasogastric tube, using a home mechanical ventilator. On enhanced CT images, the tracheostomy tube was well located within the trachea with no abnormal finding. However, chest enhanced CT images obtained 5 months later showed marked circumferential wall thickening of the trachea with tiny ulceration, a markedly increased diameter of the tracheal lumen, and a tracheoesophageal fistula. In patients using home mechanical ventilators, the location and cuff pressure of the tracheostomy tube and the nasogastric tube should be evaluated routinely. (Korean J Med 2014;87:87-91)