The retired teacher's atresia for 4 years has finally opened up. He said, "Doctor Zhou Yunzhi gave me a second life"

This patient is a retired teacher from the Kazakhs. Four years ago, due to the aftermath of the heart, the tracheal stenosis was sufficient. After continuous breathing difficulties, the trachea cut the metal sleeve implantation and maintained breathing. decline.

As a people's teacher who speaks as a profession, patients have been communicating with people in pen and paper for several years.

The picture below is the bronchial reconstruction made by the patient in 2018 in the local hospital.

In the past four years, the patient has failed to seek medical treatment. His biggest wish is to remove the gas -cutting sleeve and speak. After many inquiries, the patient came to Beijing on July 6 this year and found Director Zhou Yunzhi at the National Emergency Medical Research Center/Emergency General Hospital.

After being admitted to the hospital, Director Zhou Yunzhi asked the patient's condition carefully, quickly arranged the tracheal inspection, and found that the patient's bronchial section was completely atresses after the first tracheal mirror!

Under the first tracheal mirror, the tracheal lock is prompted

After the first tracheal inspection, Director Zhou Yunzhi led the team to carefully analyze the patient's condition. After discussion, a treatment plan was formulated: under the guidance of CT, the soft and hard lens combined with the airway re -connected the patient.

Insert the guide wire to determine the direction, the electro -needle cutting scar

Tworal airway opens

Although the airway was opened, due to the severe granulation proliferation, the airway was repeatedly blocked by necrotic objects. Therefore, low -temperature plasma radio frequency ablation granulation was given to the low -temperature plasma, which widened the airway, from the original completely lock to 20%of the narrow stenosis.

Photo after passing

After the above treatment, the patient was finally able to speak. After the old man from the Kazakhs spoke, he cried with joy, and his eyes told Director Zhou about the hardships of seeking medical treatment over the years, expressing the joy when he could speak again!

According to Director Zhou Yunzhi, the Postintance Tracheal Stenosis (PITS) is a medical tracheal disease caused by tracheal intubation or trachea. The tracheal intubation or bronchial cutting at the same time is an important means to rescue patients with respiratory failure for patients. This can quickly establish an artificial airway and improve the patient's respiratory ventilation function. In recent years, with the improvement and improvement of breathing support treatment methods, tracheal intubation or bronchial cutting has been widely used in the treatment of critical patients. What follows is that the proportion of tracheal stenosis caused by long -term tracheal intubation and tracheal operation continues to increase, and the tracheal intubation or bronchial cutting has become the second most important cause of benign tracheal stenosis, accounting for about 15%. Due to the large population base in my country, the stenosis caused by the intubation cannot be ignored.

Source: Division of Breathing and Critical Critical Medicine

Author: Liu Fangxiu

Review: Zhou Yunzhi

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