患者女,60岁。脑出血意识不清,气管切开术后2年半突然呼吸困难半小时来诊。查体:脉搏96次/分,呼吸24次/分,血压20/13 kpa,神志不清,Ⅱ度呼吸困难,颈部带10号金属套管,取出套管,发现末端缺失约20mm。血性分泌物自气管瘘口渗出,牵拉两侧瘘口周围组织,可见肉芽组织生长,以吸引管探查瘘口稍扩大后,置入8号套管,吸氧。行胸 Female patient, 60 years old. Brain hemorrhage unconsciousness, 2 years and a half after tracheotomy suddenly breathing difficulties for half an hour to diagnosis. Examination: pulse 96 beats / min, breathing 24 beats / min, blood pressure 20/13 kpa, unconsciousness, degree of difficulty breathing, neck with 10 metal cannula, remove the cannula and found that the terminal deletion of about 20mm. Bloody discharge exudation from the tracheal fistula, stretch both sides of the fistula around the organization, we can see the growth of granulation tissue to attract tube to explore the fistula slightly expanded, placed No. 8 cannula, oxygen. Chest