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[儿童喉内和气管内显微手术的当前进展]

[Current aspects of endolaryngeal and endotracheal microsurgery in children].

作者信息

Ashurov Z M, L'vova E A

出版信息

Vestn Otorinolaringol. 2002(1):15-7.

Abstract

Achievements of today's laryngeal and tracheal surgery came for the most part from novel optic techniques and anesthesia. All the operations were performed with application of the microscope or endoscopic devices. Gas exchange was provided differently: using volume, injection and high frequency artificial ventilation of the lungs. An individual approach to gas exchange technique in respiratory obstruction allowed to avoid emergency tracheotomy. A laryngeal mask was used in children for air delivery in fibrotracheobronchoscopy. Removal of tumors, dissection of laryngeal scars, trachea and bronchi were made by means of ultrasound and laser equipment. Interventions are considered for each condition.

摘要

当今喉气管外科的成就大多源于新颖的光学技术和麻醉方法。所有手术均在显微镜或内镜设备的辅助下进行。气体交换的方式各不相同:采用容量控制通气、喷射通气和高频肺人工通气。针对呼吸阻塞采用个性化的气体交换技术,从而避免了紧急气管切开术。在儿童纤维气管支气管镜检查中使用喉罩进行通气。借助超声和激光设备切除肿瘤、分离喉瘢痕、气管和支气管。针对每种病情考虑采取不同的干预措施。

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