Watier-Launey C, Buronfosse A, Saliba E, Bertrand P, Ployet M J
Service d'ORL Pédiatrique, C.H.U. de Tours, Hôpital Clocheville, France.
Laryngoscope. 2000 Feb;110(2 Pt 1):328-31. doi: 10.1097/00005537-200002010-00029.
To determine which factors contribute to early complications when intubated children show macroscopic lesions at extubation.
Retrospective review of 96 consecutive medical records of children aged 1 day to 15 years. Patients were divided into three groups depending on the extent of the subsequent treatment required: medical, reintubation, and surgical.
Age, sex, clinical history, and macroscopic features of the lesions were collected and data were compared in each group.
Underlying noninfectious respiratory diseases and young age were found to be risk factors for higher incidence of complications, but not prolonged or multiple intubations. Edema, especially in the glottic area, was a risk factor for surgical treatment. Multiple lesions were risk factors for reintubation.
History of intubation, its cause, and lesions discovered at extubation can provide the basis for definition of an "at risk" profile for intubated children.
确定在拔管时插管儿童出现宏观病变时哪些因素会导致早期并发症。
回顾性分析96例年龄在1天至15岁儿童的连续病历。根据后续所需治疗的程度将患者分为三组：药物治疗组、再次插管组和手术治疗组。
收集年龄、性别、临床病史和病变的宏观特征，并对每组数据进行比较。
发现潜在的非感染性呼吸道疾病和低龄是并发症发生率较高的危险因素，但并非插管时间延长或多次插管。水肿，尤其是声门区水肿，是手术治疗的危险因素。多处病变是再次插管的危险因素。
插管史、其原因以及拔管时发现的病变可为确定插管儿童的“风险”特征提供依据。
